Scrotal edema

Introduction During the embryonic period, there is a "abdominal sheath" in the groin that can help the testicles fall into the scrotum or the fixation of the uterine ligament. After some children are born, the sheath is incompletely closed, causing the peritoneal fluid in the abdominal cavity to enter the scrotum, which is scrotal edema.

Cause

Edema can be divided into congenital and acquired, the following factors:

Congenital scrotal edema: occurs in newborn babies, because the testiculars fall to the scrotum, the channel sheath between the abdominal cavity and the scrotum is not completely closed, so that ascites flows into the scrotum, surrounding the testicles to form congenital scrotal edema.

Acquired scrotal edema: occurs mostly in adults. Because of local trauma, the scrotum is impacted, the scrotum testicles have received radiation therapy, acute and chronic testicular inflammation, tuberculosis invades the testis, and the testis can cause scrotal hydrops. In addition, males under 40 years of age suddenly have scrotal water must consider testicular length. Tumors cause water in the scrotum due to tumor stimulation. 10% of testicular tumors first appear as symptoms of scrotal edema.

an examination

Related inspection

Scrotal ultrasound examination of scrotum

Physical examination: In a dark place, use a flashlight to shine on the swollen scrotum. If it is clear, it will transmit light, indicating that it is scrotal water. If it is not transparent, it may be hernia or testicular tumor, which needs further diagnosis.

Ultrasonic examination: Ultrasound examination can best help diagnose and identify whether it is a tumor or edema.

May occur several days, months or years after birth. Usually after the child is crying, exercising, and relaxing, there will be a bulge in the scrotum or labia; it may disappear after bed rest or sleep. Severe cases can cause abdominal pain, nausea, vomiting, anorexia or crying.

Differential diagnosis

Symptoms of scrotal edema that are confusing:

Differential diagnosis of scrotal edema: hernia: The most common and typical hernia is the presence of bulging masses in the groin, and some may even swollen to the scrotum. Most of these lumps are raised after crying, coughing, sneezing, standing for a long time or strenuous exercise, but they will naturally disappear after lying or resting, sometimes by hand pressing it back. The pain caused by simple hernia is usually not very severe, but if there is persistent severe pain in the groin, and the mass cannot be pressed back, and the symptoms last for two or three days, it may be due to necrosis such as falling intestines and fallopian tubes. . This is a very serious complication and may be life threatening.

May occur several days, months or years after birth. Usually after the child is crying, exercising, and relaxing, there will be a bulge in the scrotum or labia; it may disappear after bed rest or sleep. Severe cases can cause abdominal pain, nausea, vomiting, anorexia or crying.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.