Swollen scrotum. swelling of the scrotum. How dangerous is the phenomenon and what can provoke it. swelling caused by allergies

Scrotal edema is a condition that can be caused by both physiological and pathological causes. The urologist or andrologist is engaged in the diagnosis and treatment of pathologies of the genital organs in men.

The swelling may be unilateral or bilateral, localized or involving the testicles and penis. The edematous scrotum can reach a gigantic size, as seen in the photo, but this condition is rare, usually the swelling is less pronounced.

Causes and risk factors

The scrotum is a musculocutaneous sac-like formation in which the testicles (testicles), appendages and partly the spermatic cord in men are located. The causes that cause swelling of the external genitalia in men are divided into infectious and non-infectious.

Infectious etiology have:

orchitis – inflammatory process in the tissues of the testicle;
epididymitis- inflammation in the epididymis;
epididymo-orchitis- combined inflammation of the testicle and its epididymis.

In addition, swelling may appear if infection spreads to the scrotal tissue during acute respiratory infections. viral infections, flu , pneumonia , tuberculosis .

In newborns, inflammation can be caused by infection (often E. coli, staphylococcus aureus) through the blood vessels of the umbilical cord. In older children, the infectious process can develop against the background of mumps.

To non-infectious reasons development of pathology include:

injury to the genital organs (most often observed in adolescent patients);
testicular torsion (torsion of the spermatic cord);
surgical interventions on organs genitourinary system;
varicocele ( varicose veins veins of the spermatic cord and testis);
dropsy of the testicle (hydrocele);
benign and malignant neoplasms of the genital organs;

The table shows various diseases, which are common causes of edema development, distributed according to the frequency of occurrence in a particular age group.

It is possible to apply any traditional and folk methods of treatment for this pathology only after consultation with the attending physician.

Signs and accompanying symptoms

The main symptoms in the development of this pathology are swelling and pain in the groin. Patients may also experience:

pain in the lower abdomen;
nausea and vomiting ;
an increase in body temperature (usually not more than 38 ° C);
change in color and transparency of urine;
pathological discharge from the urethra;
deterioration in general well-being.

In addition, there may be chills, headache, sores, seals may occur on the scrotum. The skin in the scrotum may be hyperemic, the skin may peel off. If the disease in which this pathology is observed occurs in chronic form, pain the patient may be absent or weak, occurring episodically.

Testicular torsion

One of the most common causes of swelling and pain. Pathology is dangerous because it can cause the development of necrosis in a short time.

Varicocele

With varicocele against the background of varicose veins, patients experience venous congestion and swelling. This pathology may cause infertility.

dropsy of the testicles

With dropsy of the testicles, the scrotum is enlarged, there is a sensation foreign body in the scrotum, pain, problems with erection and ejaculation. An adult patient may experience discomfort when wearing underwear. Dropsy of the testicles in newborns can pass on their own for 1 year.

Epididymitis

With epididymitis, which often develops against the background of sexually transmitted diseases, in addition to swelling, there are:

intense pain that can radiate to the penis, diffuse pain (without clear localization) is also possible;
sensation of a foreign body;
discharge from the urethra.

Orchitis

With orchitis, there is swelling on the side of the lesion, the patient complains of severe pain, which in some cases radiates to the penis, anal region, lower abdomen, lower back, as well as discomfort during urination.

Inguinal hernia

With an inguinal hernia, edema may occur in the postoperative period against the background of a violation of the outflow of lymph. After some time, the patient's condition usually returns to normal.

Allergy

Puffiness with an allergic reaction often occurs when using contraceptives, lubricants. Allergens can also be food, cosmetics, household chemicals. Often, in addition to swelling, patients in the affected area experience hyperemia, itching, and a rash. Problems with urination and potency are usually absent.

Diagnostics

To make a diagnosis, complaints and anamnesis are collected, with special attention paid to the following issues:

when the tumor appeared, under what circumstances it happened;
edema size;
the presence of atypical discharge from the penis.

An objective examination is also carried out, if necessary - ultrasound procedure, diaphanoscopy, laboratory tests (general blood and urine tests, biochemical blood tests, urethral smears), scrotal puncture, biopsy.

Diagnosis of testicular torsion in newborns can be difficult, since boys in this age group often experience physiological swelling of the scrotum after childbirth.

What to do if the scrotum is swollen

Medical therapy

In most cases, conservative methods are used for treatment, treatment prescribed by a doctor is carried out at home, in some cases hospitalization may be required.

Depending on the cause, analgesic, antibacterial, anti-inflammatory, antispasmodic drugs are prescribed. In the presence of allergies, patients should avoid contact with the causative allergen, taking antihistamines is indicated.

Surgery

Surgery may be required if the patient has neoplasms, complicated orchitis, cryptorchidism, severe epididymitis.

General and rehabilitation measures

With the permission of the attending physician, you can apply a cold compress to the affected area (no more than 1 day). Patients are shown wearing a special bandage, loose clothing that does not squeeze the body.

It may be necessary to massage the testicles, sitz baths with decoctions or infusions of medicinal plants.

It is possible to apply any traditional and folk methods of treatment for this pathology only after consultation with the attending physician.

Prevention

increase immunity;
avoid various injuries of the genital organs;
avoid physical overload;
eat properly;
avoid stressful situations;
avoid hypothermia.

Video

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Scrotum- This is a leathery sac in the cavity of which the testicles, appendages and the initial section of the spermatic cord are located. This pouch may suddenly swell, causing pain. Sometimes both boys and men feel a painless hardening in the scrotum.

Common causes of swelling of the scrotum:

bacterial inflammation of the epididymis - a structure located behind the testicle;
testicular torsion;
formation in the scrotum of a mass consisting of blood, semen or fluid;
hernia - getting into the scrotum of part of the intestine;
scrotum injury.

In order to recognize deviations in time, conduct an examination once a month.

When to conduct an examination? This is best done during or after a hot bath or shower. The heat will cause the testicles to descend and the scrotum to relax. Then it will be easier to detect anomalies. Then follow the simple instructions by looking to determine the anatomical points.

First examine the scrotum. With one hand, lift the penis and feel for the scrotum (the leathery sac that contains the testicles and part of the spermatic cord). Look for changes in shape or size, enlarged or reddened veins. Make sure the left side of the scrotum hangs slightly lower than the right.

Feel each testicle. Place the thumb of the left hand in front of the left testicle, the rest of the fingers behind. Gently but firmly pressing the testicle, roll it between your fingers. Then feel the same right hand right testicle. Normal testicles are smooth, elastic, slightly sensitive. They must move freely.

More rare causes. Less commonly, swelling of the scrotum is caused by testicular cancer. This disease is rare, but in men from 20 to 35 years old it is the most common case of cancer. Its cause is unknown; usually occurs in men with undescended testicles or those whose mothers took diethylbestrol during pregnancy.

Check the spermatic cord. Locate the appendage behind the testicle (cord-like structure) and the spermatic cord going up from it. Gently pass it over the left testicle between the fingers of the left hand. Do the same with your right hand right side. Check for indurations or swelling.

Check with your doctor. If during the examination you find something questionable, tell your doctor about it.

Possible diseases

In addition to swelling, other symptoms are possible. They differ depending on the cause.

Inflammation of the appendage (epididymitis). With this disease, there is a hot, sensitive, oblong swelling behind the testicle. Other symptoms:

strong pain, gradually increasing over hours or days;
waddling gait (to relieve pressure on the scrotum and groin);
heat;
general malaise;
cloudy urine;
discharge from the penis;
pain in the lower abdomen on the affected side;
hot, red, dry, scaly, thin skin on scrotum.

Testicular torsion. This acute case causes:

sudden severe pain in or around the testicle, which can spread to the lower abdomen and increase with standing;
swelling and elevation of the affected testicle;
nausea;
vomiting;
fainting or dizziness.

Never leave a hardening unattended - in the scrotum or elsewhere. Seek immediate medical attention.

Neoplasm in the scrotum. An epididymal cyst causes swelling of the scrotum, but the cyst itself is usually painless.

Hernia. When part of the intestine is inserted into the scrotum, swelling can occur with a soft or unusually hardened scrotum.

Scrotal injury. A blow to the scrotum can cause:

swelling of the scrotum;
severe pain;
dark or bluish spots on the scrotum.

What should be done?

If swelling or hardness is found in the scrotum, you should immediately consult a doctor. Even if the formation is small and painless, medical intervention is required.

What are doctors doing? To alleviate symptoms, the doctor may prescribe bed rest for the patient. Placing a rolled towel under the scrotum will help reduce severe swelling. For mild to moderate swelling, a special support bandage is used, which is used by athletes. Aspirin or ibuprofen will relieve pain and inflammation. Heat or cold will also reduce inflammation.

Exclusion of testicular cancer. Before starting more specific treatment, the doctor must find out the cause of the swollen testicle. To exclude the possibility of a tumor, the following procedure is used: the scrotum is illuminated with strong light; at the same time, the doctor will see if there is a cyst filled with fluid, or a dense mass (dense mass does not shine through). An ultrasound or isotope study will help confirm the diagnosis.

After identifying the cause, appropriate treatment is prescribed. For example, a hernia may require surgery. (See how epididymitis and testicular torsion is treated.)

Moms and dads

Watch your son's scrotum. While your son is still small, you should monitor the condition of his scrotum. As he gets older, he will tell you about deviations himself, feeling pain or swelling.

your baby can't say anything, but you should notice the mess when changing diapers. The baby may have the following symptoms due to:

insufficiently frequently changed diapers;
Abnormal development of the fetus, which can lead to a buildup of fluid in the scrotum (dropsy) or a protrusion of part of the intestine into the scrotum (hernia).

Boys who have not yet reached the age of puberty, the most common cause swelling of the scrotum is the torsion of the spermatic cord, which is very painful and requires urgent medical attention. It is important! If your child has severe scrotal pain and fever, call the doctor immediately. Do not give the boy food or drink, do not offer painkillers - he may need surgery.

Boys over 10 years old there is a risk of diseases affecting adults. It:

epididymitis - inflammation of the epididymis;
scrotal injury during sports;
inflammation of the scrotum in mumps.

Mumps during puberty can lead to swelling of the scrotum and infertility in adolescent and adult men. The mumps vaccine is given along with the measles and rubella vaccine. One injection - at about the age of one and a half years - with a repetition at 11-12 years old helps to avoid these frequent childhood diseases.

If testicular cancer?

May be required surgical treatment, radio or chemotherapy, or a combination thereof. Surgical treatment involves the removal of the affected testicle and lymph nodes. Most surgeons do not remove the entire scrotum. If both testicles are removed, the patient will have to take hormones. After surgery, a support bandage will help relieve pain.

Removal of one testicle does not lead to infertility and impotence. If necessary, synthetic hormones will restore hormonal balance. In many cases, an artificial testicle filled with gel is placed in the scrotum, just like a real one.

If a painless hardening is found in the scrotum, do not panic - this can be caused by completely harmless reasons. However, do not hesitate to consult a doctor. Only during the examination can it be determined whether such a formation is testicular cancer.

Regular examination of the testicles and scrotum will help to identify the disease at an early stage. Such an examination should be done at least once a month (see "How to Examine the Testicles", "Watch Your Son's Scrotum").

Scrotum- an organ resembling a small leather pouch in structure. In the anatomical structure of such a "storage" are the testicles, their appendages and part of the ducts that remove the seed.

The scrotum performs essential function: participates in the thermoregulation of the male gonads. Because normal spermatogenesis is not possible at temperatures above 35°C, this leathery sac maintains an average of 34.5°C. As soon as problems with the scrotum begin, many functions of the male genital area suffer: fertility, libido, potency. Edema is relatively common and indicates a lot of diseases. Which ones and how to recognize them?

The scrotum performs the most important function: it participates in the thermoregulation of the male gonads

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hydrocele

Hydrocele (hydrocele) - a pathology, which is characterized by the accumulation of fluid in the scrotum

The most simple and obvious reason for the formation of puffiness. A hydrocele is dropsy of the testicles. With the development of this disease, especially if the process is running, a persistent increase in the size of the scrotum is formed. From the outside, she looks puffy, overly hypertrophied. This is due to the accumulation of a large amount of fluid. Children and adolescents are most susceptible to the disease. Symptoms are also very characteristic, in addition to visual data, they note:

Varicocele

It can also cause swelling. In this case, the reason lies in the varicose veins of the testicles and scrotum. The result is venous congestion and a violation of the outflow of blood. Visually determined swelling of the skin sac, the testicles themselves. it dangerous pathology capable of causing early infertility. As a rule, it does not differ in bright symptoms, with the exception of the later stages of development. The disease is most often detected during preventive examination or diagnosis for another disease.

Orchitis

Orchitis - inflammation of the tissues of the testicles

Testicular inflammation. It acts as a frequent factor in swelling of the scrotum and surrounding structures. At the same time, the edema itself is of a secondary nature: the primary source of the problem lies in the testicles. In this case, an increase in the size of the skin sac is noted only on one side, at the site of the lesion. In addition, typical manifestations of the disease are observed:

intense pain from the side of the lesion;
discomfort when urinating;
irradiation of pathological discomfort in the lower abdomen, penis, lower back and anus.

Epididymitis

Epididymitis - inflammation of the testicles

Goes hand in hand with orchitis. It is an inflammation of the epididymis. It develops as a result of penetration into the structure of the testicles of pathogens (most often), or becomes the result of a trauma suffered in the recent past. During the pathological process are observed:

severe pain radiating to the penis, testicles. May be diffuse in nature without a clear localization;
sensation of a foreign body in the scrotum.

It is important to conduct a thorough diagnosis and identify the root cause of the disease state. She may well be hiding in. Then the question of urgent hospitalization and treatment arises in order to preserve sexual function and fertility.

Allergy

It may sound exotic, but swelling is quite possible with allergies. It most often occurs after exposure to the penis and scrotum of aggressive substances: lubricants, etc. Also, with an immune response to contraceptives. In this case, the scrotum becomes red, swells and almost doubles in size or even more. From the side, the body looks unnatural. In this case, there is a uniform increase in the scrotum on both sides. Problems with urination and erectile function are not noted.

Testicular torsion

A dangerous and potentially disabling condition. It is accompanied not only by swelling of the scrotum, but also by intense pain, redness of the affected area. There may be discharge from the urethra, symptoms general intoxication body with nausea and vomiting. Hematomas are often formed and the transudate exits into the cavity of the most leathery organ (noted on palpation).

Surgical and other manipulations

catheterization Bladder, the introduction of a transurethral probe or instruments for resection of the prostate is accompanied by an increase in the scrotum in volume.

Atheroma

Since the scrotum contains many sebaceous glands, their blockage is possible with the formation of atheroma (wen).

Other reasons

Additionally, the causes that provoke the problem are pathologies such as:

tuberculosis;
tumors.

Diagnostic measures

The diagnosis of this problem is carried out by a urologist or urologist-andrologist. At the initial appointment, an oral survey of the patient is carried out regarding complaints, their duration, circumstances of occurrence, and nature. Then an anamnesis is taken. These measures are necessary for making an approximate diagnosis. Then a visual assessment of the condition of the scrotum, palpation is carried out. Already at this stage, the doctor can make a correct diagnosis and determine the cause of the pathological condition. In the future, it is necessary to take the following measures to verify the alleged factor in the formation of a disease-causing condition:

(translucence of the scrotum in order to assess the condition of the incoming anatomical structures).
. Required for the same purposes.
. Designed to identify the suspected infectious agent, if any. Meanwhile, the procedure itself can provoke the development of temporary swelling of the scrotum.
Puncture of the scrotum to collect part of the transudate or biopsy of the suspected tumor.
Histological and morphological studies of the scrotum. It is carried out as an exception and only to establish the nature of the neoplastic process in the tissues.

Additionally shown is the implementation general analysis blood, general urine analysis and biochemistry of venous blood in order to assess the condition of the patient's body.

Treatment

Treatment is symptomatic, as well as aimed at stopping pathological causes disease development. Depending on the type of pathology, therapy can be:

medication, using a whole range of drugs (with varicocele, hydrocele, uncomplicated orchitis, epididymitis);
manual (when the testicle is twisted, its reduction is practiced);
surgical (with complicated orchitis, severe purulent epididymitis, tumors, cryptorchidism).

It all depends on the root cause of the formation of the disease. The specific tactics of therapy, as well as the names of medicines, are determined only by the doctor.

Conclusion

Scrotal edema is a symptom of many pathologies, but not an independent disease. It is not necessary to treat and investigate it, but the root cause that caused such an unpleasant manifestation. This is the only way to stop an unfavorable symptom and return the patient to a healthy life.

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The scrotum is a musculocutaneous sac made up of connective tissue. blood vessels, as well as the male sex glands - the ovaries and vas deferens. In addition to the main components, in the cavity of the skin bag is localized a large number of sebaceous glands, which explains the vulnerability of the male organ to the development of inflammation or infection.

Penetrating into the structure of the sac, infectious bacteria begin to actively multiply, which leads to the accumulation of secretory fluid in the connective tissue and contributes to the development of such a pathology as swelling of the scrotum.

What are the causes of swelling

There are two types of causes of edema on the scrotum: infectious and non-infectious.

A common infectious cause of a tumor of the genital organ in men is the development of epididymitis, which is characterized by inflammation of the appendages of the seminal canal as a result of the multiplication of pathogenic microorganisms in the skin sac.

Another common factor of an infectious nature is orchitis, which involves inflammation of the left or right testicle: much less often, the inflammatory process affects two appendages at the same time. In addition to orchitis, swelling of the scrotum in men is observed with epididymo-orchitis, a pathology that develops against the background of such diseases of the genitourinary system as urethritis and prostatitis.

Non-infectious causes of swelling of the scrotum include:

Torsion of the testis as a result of torsion of the hydatid of the spermatic cord. The main cause of this pathology is considered to be a sharp muscle contraction, often developing as a result of mechanical damage and hypothermia of the male glands.
An inguinal hernia is characterized by a protrusion abdominal organs to the groin area. Since the disease involves surgical intervention, during which the doctor sets the hernial sac back, in men the local outflow of lymph is disturbed. As a result, the secretory fluid accumulates, forming edema on the male organ.
Hydrocele (dropsy) is characterized by the accumulation between the two testicles of pathological fluid produced by the serous membrane. Dropsy is diagnosed in newborn babies, as it refers to congenital pathologies.
An allergic reaction that develops against the background of a man's interaction with an allergen contained in a cosmetic or food product also provokes swelling of the external genitalia. Allergic edema should be treated with antihistamine drugs.
Benign (fibroma and papilloma) and malignant (cancerous tumor) neoplasms provoke metastases to the scrotum, as a result of which the natural outflow of lymph is disturbed.

Also, swelling of the male gonads is observed in heart failure and mumps.

Symptoms and Diagnosis

Regardless of the factor that provoked the swelling of the male organ, the edematous scrotum syndrome is characterized by the presence of such signs:

an increase in the size of the affected organ, which is accompanied by the manifestation of a specific compaction on its surface;
development pain syndrome, which at an early stage is limited to the inguinal region, and with further progression extends to the abdominal cavity;
asymmetry of the gonads: drying and redness of their skin, as well as the formation of a purulent rash on them;
violation of the process of urination and a change in the composition of urine: urine takes on a bright yellow color and becomes cloudy;
the presence of specific secretions of a liquid consistency that contain bloody impurities and are produced by the genital organ;
development of general intoxication, which is accompanied by vomiting, severe headache, high temperature, as well as nausea;
sexual dysfunction: lack of ejaculation.

If the left or right testicle is swollen, a man needs to contact a urologist.

First of all, the doctor will conduct an oral survey, during which he will clarify with the patient how long the tumor has formed, what symptoms are present, and whether the male organ was operated on and damaged.

After completing the survey, the urologist proceeds to an external examination of the swollen gonad, through which he assesses the size of the scrotum and the condition of the local skin. In addition, during the physical diagnosis, the doctor examines the structure of the penis by palpation in order to detect specific seals in its parenchyma.

So that the doctor can determine the exact diagnosis, after a visual examination, the patient is sent for a urine and blood test. If the cause of swelling of the scrotum is inflammatory, the victim additionally passes a urine culture to determine the type of pathogen.

At the final stage of diagnosis, the patient attends an ultrasound examination, during which the specialist will determine characteristics tumors. Relying on Results instrumental diagnostics, the urologist draws up a treatment plan.

First aid

With the development of edematous scrotum syndrome, the patient needs to take emergency measures to prevent bruising and enlargement of the skin pouch.

Immediately after the onset of edema, the victim must apply a cold compress to the swollen area every two hours for at least 15 minutes.

If cold therapy does not provide a favorable result, the patient is advised to take a sitz bath at room temperature: use during the procedure cold or hot water forbidden. In order to increase the effect, after taking a sitz bath, the victim needs to reduce motor activity and massage the scrotum.

Treatment Methods

The choice of treatment tactics is carried out by the doctor based on the factor that provoked the swelling. If the swelling of the gonads was formed against the background of an infectious process, the victim is shown drug therapy, which is based on the complex intake of antibiotics, painkillers and anti-inflammatory drugs.

Allergic-type edema is treated with antihistamine and hormonal drugs.

Drug treatment of allergies is effective in the absence of contact with the pathogen: during the treatment course, the patient needs to limit the relationship with the allergen.

Treatment of swelling by surgical intervention is considered appropriate if the swelling of the scrotum is the result of a malignant tumor or testicular torsion. If it is impossible to preserve the functions of the skin sac, the doctor removes the affected ovary along with its appendages.

To speed up the rehabilitation process, after the operation, the victim is shown to undergo a course of physiotherapy procedures. The patient is recommended to take anti-allergic drugs and visit sodium heparin droppers.

Folk remedies

Treatment folk methods used as adjuvant therapy with slight swelling of the scrotum.

The most effective remedy is honey drink. To prepare it, you need to wash a large radish, form a hole in the root crop and put one tablespoon of honey into it. Next, you need to put the radish in a cool place for at least a day so that the juice is infused: the resulting drug is recommended to be taken three times a day in the amount of one tablespoon 30 minutes before meals.

Another common way to relieve swelling in the groin area is to apply a chamomile compress. The recipe is as follows: 50 g of dried flowers are poured into 1 liter of boiling water, then the liquid is infused for 40 minutes and filtered through gauze. After the chamomile decoction has cooled, it is impregnated with a clean cloth and the resulting compress is applied to the scrotum for no more than 40 minutes.

Peas can be used to prepare an anti-inflammatory compress. 20 g of crushed dry peas are poured with boiling water: the resulting mixture is applied in a thin layer to the edema and covered with a cotton napkin. The second way to use peas is as follows: natural product soaked in water for an hour, and then boiled over low heat for 20 minutes and applied to the swollen inguinal area.

Prevention

In order to prevent swelling of the scrotum, a man must follow the following rules:

Timely eliminate infectious pathologies.
Avoid casual sex and use contraceptives during intimacy.
Wear quality underwear made from natural fabrics.
Exercise regularly.
Eat a balanced diet.

Often, edema in the inguinal zone is formed due to poor quality intimate hygiene: in order to avoid swelling of the penis, a man needs to take a bath regularly.

swelling of the scrotum

swelling of the scrotum indicates the accumulation of excess fluid, which is accompanied by inflammatory processes, both of the scrotum itself and of the organs responsible for sexual function.

Scrotum

Scrotum- a musculoskeletal organ, in the cavity of which the testicles, appendages and the initial section of the spermatic cord are located, separated from each other by a connective tissue septum, to which the embryonic suture corresponds on the outside. The skin of the scrotum is pigmented, covered with sparse hair, contains a significant amount of sweat and sebaceous glands, the secret of which has a specific smell, and is richly innervated.

The thin skin of the scrotum is tightly fused with the next layer - the fleshy membrane formed connective tissue with many muscle and elastic fibers. Between the shells of the scrotum, testis, epididymis and spermatic cord are connective tissue strands and loose fiber, in which the vessels pass.

Causes of swelling of the scrotum

Bilateral diffuse swelling of the scrotum is usually a symptom systemic disease, most often anasarcas. Ascites, hydrothorax, and scrotal edema often develop in patients with severe congestive heart failure, nephrotic syndrome, or cirrhosis (www.diagnos-online.ru/zabol/zabol-185.html).

Unilateral swelling of the scrotum is usually a sign of local pathology. The most common is varicocele (Latin varix - varicose veins and Greek kele - tumor). This condition is caused by failure of the valves of the internal spermatic veins and is therefore characterized by venous congestion along the spermatic cord. A varicocele resembles a ball of worms. It appears only in the standing position, and in the prone position it disappears.

This condition is easily diagnosed and has important clinical significance, as it often causes reversible infertility. Varicocele often develops on the left side, which is associated with the peculiarities of the outflow along the testicular veins. Accordingly, with a right-sided varicocele, it is necessary to exclude anomalies in the structure or other diagnosis.

In addition to varicocele, local swelling of the scrotum is usually found in the pathology of the testicles or epididymis. Painful swelling of the scrotum usually indicates an acute process (eg, torsion of the spermatic cord, strangulation inguinal hernia, acute orchitis or acute epididymitis).

Treatment of swelling of the scrotum

Treatment for edema is prescribed individually, depending on the cause. Compresses, various ointments are prescribed to remove swelling, resume normal appearance. Therapeutic treatment is also prescribed if surgery is not required. All recommendations must be followed carefully in order to avoid aggravation of the pathology.

Scrotal edema: causes and treatment

appearance various diseases the genitourinary system is subject to each modern man, regardless of age. They cause a lot of unpleasant symptoms that extremely interfere with Everyday life. Consider what pathologies it indicates swelling of the scrotum, as well as the most effective methods treatment.

Possible causes of testicular edema

appearance tumors of the right and left testicles in men precede such the reasons:

Epididymitis. This pathology is an inflammatory process in the appendages of the spermatic cord.
Orchitis. This disease is characterized by inflammation of the right or left testicle or a bilateral inflammatory process.
Epididymoorchitis. Occurs as a result of inflammation of the testicles with appendages.

This is about causes of swollen testicles in men infectious nature. Non-infectious factors include:

The appearance of an inguinal hernia. Swelling in the scrotum in this case, it is observed after surgery, when the hernial sac is installed in the abdominal cavity. In the postoperative period, there is a violation of the outflow of lymph. After a certain time, the condition returns to normal. So if swollen testicle after inguinal hernia surgery, you should not panic.
Hydrocele (dropsy of the testicles). This disease is characterized by an abnormal accumulation of fluid between the testicles. Most often, this pathology is observed in newborns. Within 1 year, the condition should normalize on its own.
The appearance of neoplasms in the testicle. testicular tumor in men occurs in extremely rare cases. But, nevertheless, it can be both benign and malignant. Benign neoplasms that can cause swelling of the scrotum are papillomas. As for malignant growths, these are serious pathologies such as liposarcoma or cancer. The appearance of various formations in the scrotum is a danger to the health of a man, since they tend to grow. An unpleasant feature of such pathologies is that testicular enlargement in men in this state is observed late stages their development.
Heart failure. This cause causes a violation of blood circulation in the pelvic organs, resulting in stagnant processes.
allergic manifestations. swollen testicles in men can be called by reason exposure to certain external stimuli. This usually occurs as a result of individual intolerance to certain foods that make up cosmetics, household chemicals. When an allergen enters the body, a man feels that swollen testicle and pain in this region. The condition can be alleviated in this case with the help of antihistamine drugs.
Testicular torsion. This pathology develops mainly in children. This is due to the fact that in early age the organs of the reproductive system have not yet matured. The essence of the pathology lies in the fact that the spermatic cord is twisted, after which it is observed testicular tumor in a child. This condition calls for immediate medical care.
Varicocele. This is a disease that is varicose veins in the testicles. With exacerbation of varicocele observed edema of the right or left testicles in men.

Important to remember! Regardless of the reason for the swelling of the scrotum in a man, you need to immediately consult a doctor for help!

Symptoms of pathology

The general signs that accompany swelling of the scrotum in men are of different severity. If formed testicular tumor in men, symptoms appear like this:

Enlargement of the scrotum in size. When it is probed, seals can be felt.
Painful sensations. They are growing. Moreover, the pain can be localized not only in the testicles, but also give to the lower part abdominal cavity.
Increase in body temperature up to 38˚С. The man has a fever, chills.
The surface of the scrotum changes color. It becomes red, purple. Skin covering may also peel off. In some men, small seals form, which over time develop into sores or ulcers.
If the swelling of the scrotum is caused by an infection, then the man has uncharacteristic discharge from the penis. Urine loses its transparency, changes its color.
Symptoms of intoxication. A young man may complain of nausea, dizziness, headaches, general weakness of the body.
An advanced form of pathology can lead not only to an increase in the scrotum, but also to swelling of the entire penis.

If the disease, as a result of which a man has swelling of the testicles, is chronic, then pain in most cases does not bother.

Most often, young people complaining about scrotum enlargement are sent to the hospital for examination in order to establish an accurate diagnosis.

What does it look like testicular tumor in men, can be seen on a photo.

Diagnosis of the disease

In order to start the correct treatment, it is necessary to undergo a thorough diagnosis. That is, the detection causes of swelling of the scrotum in men allows you to prescribe the necessary therapy to the patient. First of all, the doctor conducts a survey, clarifying the following points:

when and under what circumstances puffiness appeared;
how the patient's well-being changes;
tumor size;
whether atypical discharge and the genital organ are observed;
preceded the onset of the tumor various injuries, injury or surgery;
Are you worried about pain and other discomfort in the groin area?

The patient is then sent for an ultrasound examination. Based on its results and information received from the patient, the exact cause of the scrotal tumor is established, after which the required treatment is prescribed.

Treatment of swelling of the scrotum

If a cause of swollen testicles is not the development of infection, then treatment provides for the following activities:

applying cold to the affected area (this is required for no more than 1 day);
moderate physical activity until the condition returns to normal;
wearing a special bandage that helps keep the scrotum in a stationary state;
massage the testicles
carry out sitz baths using decoctions of medicinal herbs.

If a swollen testicle after varicocele surgery or removal of an inguinal hernia, then the above medical measures will help to normalize the condition in a short time.

Swollen testicles in men which served as an allergen, is treated with the use of antihistamines and hormonal drugs. It is also imperative to eliminate the irritating factor.

Swelling in the scrotum caused by an infectious disease is eliminated after undergoing a course of drug therapy. To normalize the patient's condition, antibacterial, anti-inflammatory and antispasmodic drugs are prescribed.

Most dangerous state for a young man is testicular volvulus. In this condition, drug therapy local treatment won't help. Recovery requires surgery. In extremely rare cases, testicular massage can help in this case. The operation is carried out urgently, because if it has not been done within 6 hours after the testicle is twisted, then irreversible pathological changes in the sex gland. Prolonged stay in this state ends complete removal damaged testicle.

After the operation, the man must undergo rehabilitation. To do this, he is prescribed such restorative measures and drugs:

physiotherapy;
antiallergic drugs;
novocaine blockade;
intravenous administration of sodium heparin.

When malignant neoplasms also appointed in most cases, the operation. It all depends on the size tumors in the scrotum in a man.

Alternative medicine also offers therapeutic compresses that help relieve a man's well-being with a scrotal tumor. But before using them, it is imperative to consult a specialist. Because some folk remedies may worsen the condition in certain situations.

Prevention of pathology

Preventive measures to prevent testicular edema are aimed at strengthening the organs of the genitourinary system, as well as improving their functioning. To do this, you must adhere to the following rules:

Heals in a timely manner infectious diseases. Pathogenic microorganisms during their active development can spread throughout the body with the blood stream. Thus, the testicles are also subject to the occurrence of pathological processes.
Avoid casual sexual relationships with different partners. Or do not forget to use a condom in such situations, regardless of the type of intimacy. Sexually transmitted diseases can cause swelling of the scrotum. This is one of the typical symptoms. infectious disease penis.
Moderate physical exercise. Excessive activity in this case gives a strong load on the abdominal cavity and inguinal part. This causes circulatory disturbance at the local level, which can lead to swollen scrotum in men.
Eat properly. A balanced diet will help saturate the body essential vitamins, minerals and other beneficial substances, thereby strengthening the immune system. An organism with high protective functions is not susceptible to the occurrence infectious pathologies and inflammatory processes.
Choose high-quality and comfortable underwear. Underpants made from low-quality material can cause an allergic reaction in the form of swelling of the scrotum. And you also need to choose underwear according to size. Tight pants expose the penis and scrotum to strong friction, which negatively affects men's health generally.
Parents of boys need to pay special attention to hygiene and care of the genitals. It is necessary to ensure that the skin in the scrotum is not subjected to friction and does not sweat. To do this, you need to change diapers in a timely manner, make the baby air baths.

swelling of the scrotum in young people can cause serious illness. Therefore, if a man notices a pathological increase in the testicles, you should immediately consult a doctor for help. Because this condition can lead to dangerous consequences such as testicle removal and infertility. A specialist in this matter is a urologist.

Why does swelling of the scrotum occur and how to treat it?

Every year, men increasingly turn to the urologist with infectious and inflammatory diseases urinary system. Scrotal edema is one of the characteristic symptoms of these diseases. The scrotum is a leathery bag that contains the male gonads, the vas deferens. It also concentrates many sebaceous glands, which contribute to the accelerated development of inflammatory processes and infections. Puffiness can develop only on one side or simultaneously on both. This symptom is typical for men of any age, delivers a mass discomfort including pain. Swelling in the scrotum should not remain without special attention, because a number of diseases that cause this symptom can end up very badly for a man.

If the scrotum is swollen, the first step is to determine what provoked pathological condition.

Tumor - characteristic symptom epidermitis. This disease is an inflammation of the epididymis. Of great importance in the development of epidermitis are sexually transmitted infections. If the testicles are also involved in the inflammatory process, then the man may develop orchitis.

Sometimes swelling develops against the background of medical manipulations, for example, during catheterization. The presence of swelling may also indicate an allergic reaction. Allergies are characterized by uniform swelling of both sides of the scrotum and itching. The condition can be provoked by dust, fungi, food product and even the use of synthetic underwear. It is important to note that allergies in the genital area can only develop in hypersensitive men, in healthy person she doesn't show up.

Separately, it is worth touching on the topic of a tumor in the scrotum. This situation is characterized by swelling on one side only. On palpation, you can feel a dense structure inside the scrotum, which can move from place to place. The neoplasm may be benign or malignant. The first group includes fibroma, lipoma, the second - rhabdomyosarcoma and liposarcoma. It is very important to consult a doctor if a lump is found, as malignant tumor very quickly metastasizes to the inguinal lymph nodes.

In addition to infections and neoplasms, swelling of the scrotum can provoke testicular torsion. This is enough serious illness, since a prolonged lack of blood supply leads to tissue necrosis. Mechanical damage to the scrotum, heavy physical exertion and sudden movements can cause testicular torsion.

Among the others possible causes development of a tumor in the groin area can be noted:

congestive heart failure (myocardial weakness);
mumps (mumps);
hernia;
dropsy of the testicle;
surgery in the genital area;
varicocele (plexus).

Determining the cause is a very important step in the treatment process. Having correctly determined what provoked the pathological condition of the organ, you can begin competent treatment, which will quickly restore the normal state of the scrotum.

Each disease, which is characterized by swelling of the scrotum, has a number of additional features. But there are common manifestations, which should be a good reason to go to the hospital. Among these symptoms can be noted:

redness or blueness of the skin on the scrotum;
severe pain in or around the testicle;
a change in gait (a person tries to relieve pressure on the scrotum by spreading their legs wide while walking);
temperature rise;
dizziness;
cloudy urine;
violation of urination and pain at the same time;
problems with ejaculation;
blood in seminal fluid;
discharge from the penis;
nausea and vomiting;
elevation of the affected testicle.

If a man notices swelling and the above symptoms are present, the first step is to apply something cold to the scrotum to avoid bruising and swelling. Keep an ice pack or cold object for 15 minutes every hour on the first day of swelling. Next, you need to take sitz baths to reduce swelling. Water should not be hot or cold. Water at room temperature is suitable. To reduce pain and stress on the body, it is recommended to observe bed rest.

Before starting therapy, it is required to confirm the diagnosis. The doctor should initially conduct a visual examination of the genital organs and their appendages, ask a number of leading questions that will help to understand true reason edema. The doctor may ask:

when the edema occurred;
whether the patient gets worse with each subsequent day;
is there any discharge from the penis;
whether there has ever been an operation on the genitals;
whether there were injuries of the genital organs;
whether the swelling decreases after rest;
are there any other symptoms;
whether there is pain around the scrotum.

To help the doctor make a correct diagnosis, it is recommended that you prepare answers to these questions in advance. The doctor may prescribe laboratory tests urine, blood and feces, sowing urine to isolate the culture of the pathogen. The doctor will diagnose for the presence of sexually transmitted infections. Of the instrumental diagnostic methods, an ultrasound examination will be carried out.

If the tumor was provoked allergic reaction, the doctor will prescribe antihistamines, will require in the future to avoid the allergen that caused the pathology. If a antihistamines will not bring results, they administer hormones.

For infections of the genitourinary system, antibacterial and antifungal drugs general strengthening therapy is carried out. Shown physiotherapy and the use of NSAIDs.

If a tumor in the scrotum is suspected, a more thorough diagnosis is carried out and the advisability of chemotherapy and surgery is decided on an individual basis.

Testicular torsion requires immediate attention. The doctor must perform a detorsion, that is, untwisting the testicle, or an operation. If there is pain, the doctor prescribes pain medication. After the surgical intervention, physiotherapy is carried out, desensitizing drugs, novocaine blockade are introduced. Intravenous administration of sodium heparin and Reopoliglyukin is necessary.