Clinical evaluation and management of scrotal swelling


  • Upendra Pawar Department of General Surgery, MR Medical College, Kalburgi, Karnataka, India
  • Sharanbasappa Gubbi Department of General Surgery, MR Medical College, Kalburgi, Karnataka, India



Scrotal swelling, Symptoms, Treatment modality, Hydrocele, Epididymoorchitis


Background: The present study was conducted with the main purpose to identify the mode of presentation, various treatment modalities and outcome of these with their complications.

Methods: This prospective study was carried out on a total of 100 subjects presented with scrotal swellings. Exhibiting symptoms were noted including discomfort, painless swelling, urine symptoms and fever. Questionnaires were used to analyse all the predisposing factors of patients, which were then categorized as idiopathic, urinary problems, trauma or previous history. Ultrasound as well as colour Doppler was carried out on all subjects. The options for treatment were either surgical or conservative. The cases treated were recorded accordingly and follow up was done.

Results: The majority of study patients, that is, 56%, suffered with scrotal swelling on the right side, followed by left (40%) and bilateral side (4%). 63% of the subjects were presented with symptoms of painless swelling. Whereas 27% of the study subjects were presented with symptoms of pain and fever and 10% of them showed only the symptoms of pain. The majority of study subjects, that is, 71% were treated with surgical modality. Whereas 29% with conservation modality. The most common USG finding found among the study subjects was hydrocoele (37%). 37 (37.0%) subjects having hydrocoele suffered postoperative complications.

Conclusions: Younger age group and manual labourers were more prone to scrotal swellings. Few of the operated cases developed postoperative complications like epididymoorchitis. There is a resurgence of thorough clinical examination to establish a diagnosis in patients with scrotal swelling.


Author Biography

Upendra Pawar, Department of General Surgery, MR Medical College, Kalburgi, Karnataka, India

Junior resident in department of surgery


Young AE, Burnand KG. The New Aird's Companion in Surgical Studies. Churchill Livingstone; 1992: 1353-8.

Morris PJ, Malt RA. Oxford Text book of Surgery, volume 2. Oxford University Press; 1994: 1614-6.

Flower C. The testis and scrotum. In: Williams NS, O'Connell PR, McCaskie A, eds. Bailey and Love’s Short practice of surgery. 27th ed. London; Arnold Publishers; 2004: 1404-16.

Mishra LK, Hai AA. Fournier” s gangrene. JIMA. 1980;75:2-4.

Meacham RB, Townsend RR, Rademacher D, Drose JA. The incidence of varicoceles in the general population when evaluated by physical examination, gray scale sonography and color Doppler sonography. J Urol. 1994;151(6):1535-8.

Naughton CK, Nangia AK, Agrawal A. Pathophysiology of varicoceles in male infertility. Human Reproduct Update. 2009;23:473-81.

Sudakoff GS, Quiroz F, Karcaaltincaba M, Foley WD. Scrotal ultrasonography with emphasis on the extra testicular space: anatomy, embryology, and pathology. Ultrasound Quarter. 2002;18(4):255-73.

Wein AJ. Campbell-Walsh Urology. 9th ed. Male infertility. Philadelphia: Saunders/Elsevier; 2007.

Borah KK, Hazarika K. Scrotal swelling-evaluation by high frequency USG and colour Doppler studies. J Evi Based Med Healthcare. 2017;4(8):385-92.

Chauhan A, Mishra S, Jeelani G, Rashid Z. A clinicopathological and radiological evaluation of 100 cases of scrotal swellings with special reference to testicular tumour in Western Uttar Pradesh. J Sci Res. 2017;6(3):2238-41.

Patel MB, Goswami HM, Parikh UR. Histopathological study of testicular lesions. Gujarat Med J. 2015;70(1):41-6.

Mahala MK, Malviya S, Malviya A, Sharma G, Bhargava R. A clinicopathological study of scrotal swellings in adults. Int J Surg. 2020;4(3):151-3.

Pasoriya S, Sobtis S, Manmohan M, Thahir VU, Sawant R. Sonological evaluation of scrotal pathology by high frequency ultrasound and color doppler examination. Indian J Res. 2019:8(7):26-30.

Luzzi GA, O’Brien TS. Acute epididymitis. BJU Int. 2001;87(8):747-55.

Reynard J, Turner K, Mark S, Aemenakas N, Feneley M, Mark S. Urological surgery. 1st ed. Scrotal and Penile Surgery. Oxford University Press; 2020: 620.






Original Research Articles