Clinical evaluation and management of scrotal swelling

Abstract

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.

Clinical study of the management of scrotal swelling in adult patients at a rural medical college and research hospital

“…Testicular torsions when diagnosed early within six hours can be managed by exploration and orchidopexy. [10][11][12] In our study, maximum number of cases were observed in the age group 18-28 years were 32 (35.56%), followed by 28-38 were 29 (32.22%) and were 38-48 years 13 were (14.44%), followed up by 48-58 years were 6 (6.67%), 58-68 years were 7 (7.78%) and 68-78 years were 3 (3.33%) (Table 2). In the study conducted by Chauhan et al maximum incidence of patients was in the age group of 21-30 years (41%) followed by 31-40 (18%) and 41-50 years (13%).…”

“…Testicular torsions when diagnosed early within six hours can be managed by exploration and orchidopexy. [10][11][12]…”

Encysted Hydrocele of Spermatic Cord in Adult: A Rare Case Report

“…The differentiation of various hydrocele types is imperative for appropriate management and favorable perioperative outcomes. The presence of fluid brilliantly transilluminates the swelling, aiding in the differentiation from conditions such as an inguinal hernia, spermatic cord lipoma, epididymal cyst, spermatocele, testicular tumor, scrotal edema, and varicocele [5].…”