Scrotal swelling is abnormal enlargement of the scrotum, the sac surrounding the testicles.
Scrotal swelling can occur in males at any age. The swelling can be on one or both sides, and there may be pain. The testicles and penis may or may not be involved.
Testicular torsion is a serious emergency in which the testicle become twisted in the scrotum and loses its blood supply. If this twisting is not relieved quickly, the testicle may be lost permanently. This condition is extremely painful. Call 911 or see your health care provider immediately, because losing blood supply for just a few hours can cause tissue death and the loss of a testicle.
Call your health care provider if:
Your health care provider will perform a physical examination and take a medical history, which may include the following questions:
The physical examination will probably include a detailed examination of the scrotum, testicles, and penis. The combination of a physical exam and history will determine whether you need any tests.
Your health care provider may prescribe antibiotics and pain medications, or recommend surgery. A scrotal ultrasound may be done to determine where the swelling is occurring.
Swelling of the scrotum; Testicular enlargement
Barthold JS. Abnormalities of the testes and scrotum andtheir surgical management. In: Wein AJ, ed. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 132.
Elder JS. Disorders and anomalies of the scrotal contents. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa: Saunders Elsevier; 2011:chap 539.
Updated by: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Louis S. Liou, MD, PhD, Chief of Urology, Cambridge Health Alliance, Visiting Assistant Professor of Surgery, Harvard Medical School. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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