Scrotal swelling is abnormal enlargement of the scrotum, the sac surrounding the testicles.
Swelling of the scrotum; Testicular enlargement
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.
- Certain medical treatments
- Congestive heart failure
Epididymitis Hernia Hydrocele
- Surgery in the genital area
- Testicular torsion
- Testicular cancer
Apply ice packs to the scrotum for the first 24 hours, followed by
sitz bathsto decrease swelling.
If the pain is severe, place a rolled-up towel between the legs just under the scrotum to help relieve pain and reduce swelling, but get medical attention to make sure it is not a torsion.
Wear a loose-fitting athletic supporter for daily activities.
Avoid excessive activity until the swelling disappears.
Call your health care provider if
Call your health care provider if:
You notice any unexplained scrotal swelling
The swelling is painful
You have a
What to expect at your health care provider’s office
Your health care provider will perform a physical examination and take a medical history, which may include the following questions:
- When did the swelling develop?
- Did it develop suddenly?
- Is it getting worse?
- How big is the swelling (try to describe in terms such as “twice normal size” or “the size of a golfball”)?
- Does the swelling appear to be fluid?
- Can you feel tissue in the swollen area?
- Is the swelling in one part of the scrotum or in the entire scrotum?
- Is the swelling the same on both sides (sometimes a swollen scrotum is actually an enlarged testicle, a testicular lump, or a swollen duct)?
- Have you had surgery on the genital area?
- Have you had an injury or trauma to your genitals?
- Have you had a recent genital infection?
- Does the swelling go down after you rest in bed?
- Do you have any other symptoms?
- Is there any pain in the area around the scrotum?
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