Scrotal Swelling – 20 Common Causes

Scrotal swelling is irregular enlargement of the scrotum. This is the name for the sac surrounding the testicles. Scrotal swellings occur to males irrespective of age. The protrusion can be on one or both sides, and there may be soreness. The testicles and penis may or may not be occupied.

scrotal swelling

Causes of Painful Scrotal Swelling

Painful scrotal swelling can start unexpectedly or gradually. Painful swelling is not very common than painless swelling, but is more serious, especially if it is acute and sudden.

Here are some common causes:

Testicular Torsion

It occurs in only one testicle when twists on its cord. This condition can also occur after an injury to the groin or when a man is sleeping or when he is engaging in physical activity. Rapid growth during puberty may also cause the condition.

Epididymitis and Orchitis

It is caused due to infection, most commonly from a urine infection or a sexually transmitted infectivity. A course of antibiotic medicine will usually cure the virus.

Zipper Entrapment

If a section of the scrotum, foreskin, or penis gets trapped in a zipper when a child fastens or releases the zipper without the protection of underwear, it can cause immediate, agonizing pain and the parents eventually bring the child to the doctor after the effort to free the zipper is unsuccessful at home.

Other Causes

Less common causes of painful swelling include:

  • Congestive heart failure
  • Surgery in the genital area
  • Torsion of Testicular Appendices
  • Allergic reactions
  • Insect bites
  • Schönlein-Henoch
  • Testicular cancer
  • Trauma
  • Hair Tourniquet
  • Penile Complaints
  • Rash
  • Other injuries
  • Certain medical treatments

Causes of Painless Scrotal Swelling

Painless swelling can occur suddenly or slowly over time. Some of the common causes:

  • Hernias are generated by abnormal openings left behind when the testicles drop into the scrotum during development.
  • Hydroceles are accumulation of fluid that passes down into the scrotum, present in about ten percent of baby boys at birth. If an aperture does not close by itself, a portion of intestine may pass through the opening.
  • Varicoceles are originated by engorged veins in the scrotum that drain the testicles and send blood back to the heart. They are more frequent on the left side of the scrotum.

Other Causes Include

  • Idiopathic scrotal edema
  • Henoch-Schonlein purpura
  • Hydrocele
  • Incarcerated hernia
  • Tumors of the testicle
  • Genetic syndrome – e.g. Fragile X

The Treatment Totally Depends on the Cause here are Some Treating Options

  • Surgery
  • Antibiotics
  • Home Care include-
  • For the first 24 hours apply ice packs to the scrotum
  • If the pain is severe, place a rolled-up towel between the legs just under the scrotum to help ease pain and diminish swelling.
  • Wear a loose-fitting athletic supporter for daily activities.
  • Avoid too much activity until the swelling disappears.

Observation and treatments may not be needed for situations like minor trauma, mumps, tiny hernias, hydroceles, idiopathic swelling, and Schönlein-Henoch purpura. Other conditions need attention.

Posted in: Men's Health

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