The scrotum is an organ resembling a small leather pouch in structure. In the anatomical structure of such a “repository” are the testicles, their appendages and part of the ducts that remove the seed.
The scrotum performs an essential function: it participates in the thermoregulation of the male sex glands. Since normal spermatogenesis is impossible at temperatures above 35 ° C, this leathery bag maintains this figure at 34.5 ° C on average. 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 host of diseases. What and how to recognize them?
The scrotum performs an essential function: it participates in the thermoregulation of the male sex glands
Reasons for the development of edema
Hydrocele (dropsy of the testicle) is a pathology characterized by the accumulation of fluid in the scrotum. (Read more https://www.chop.edu/conditions-diseases/hydrocele)
The simplest and most obvious reason for the formation of puffiness. Hydrocele is a dropsy of the testicles. With the development of this disease, especially if the process is neglected, a persistent increase in the size of the scrotum is formed. From the side, it looks puffy, overly hypertrophied. This is due to the accumulation of a large amount of liquid. Children and adolescents are most susceptible to the disease. Symptoms are also very characteristic, in addition to visual data, they note:
- mild pain in the testicles;
- discomfort, a feeling of a foreign body in the scrotum;
- if the disease struck an adult patient – discomfort when wearing underwear, problems with erection and ejaculation.
Varicocele – varicose veins of the plexus of the spermatic cord
It can also cause swelling. In this case, the cause lies in varicose veins of the testicles and scrotum. The result is venous congestion and a violation of the outflow of blood. The puffiness of the skin sac and the testicles themselves is visually determined. This is a dangerous pathology that can cause early infertility. As a rule, it does not differ in vivid symptoms, with the exception of the late stages of development. The disease is most often detected during a routine examination or diagnosis of another disease.
(Read more https://www.healthline.com/health/varicocele)
Orchitis – inflammation of the tissues of the testicles
Inflammation of the testis. It is a frequent factor in swelling of the scrotum and surrounding structures. In this case, 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 lesion;
- discomfort when urinating;
- irradiation of pathological discomfort in the lower abdomen, penis, lower back and anus.
Epididymitis – inflammation of the epididymis 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 testicles of pathogens (most often), or becomes the result of an injury suffered in the recent past. During the pathological process observed:
- severe pain radiating to the penis, testicles. They can be spilled in nature without a clear localization;
- discharge from the urethra;
- foreign body sensation 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 a sexually transmitted infection. Then the urgent question arises of urgent hospitalization and treatment in order to maintain sexual function and fertility.
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 contraception. In this case, the scrotum turns red, swells and almost doubles in size and even more. From the side, the organ 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.
Dangerous and potentially disabling condition. It is accompanied not only by swelling of the scrotum, but also by intense pain, redness of the lesion. Discharge from the urethra, symptoms of general intoxication with nausea and vomiting may be noted. Often hematomas are formed and the transudate exit into the cavity of the skinny organ itself (noted during palpation).
Surgical and other manipulations
Catheterization of the bladder, the introduction of a transurethral probe or instruments for resection of the prostate are accompanied by an increase in the scrotum in volume.
Since there are many sebaceous glands in the scrotum, their blockage is possible with the formation of atheroma (adipose).
In addition, the pathologies provoking the problem are pathologies such as:
- mumps (mumps);
A urologist or an urologist andrologist is involved in the diagnosis of this problem. At the initial appointment, the patient is interviewed orally for complaints, their duration, circumstances of occurrence, nature. Then an anamnesis is collected. These measures are necessary for making an approximate diagnosis. Then a visual assessment of the condition of the scrotum, palpation. Already at this stage, the doctor can make the correct diagnosis and determine the cause of the pathological condition. In the future, it is necessary to undergo the following activities to verify the putative factor in the formation of the disease state:
- Diaphanoscopy (scrotal scans to assess the condition of incoming anatomical structures).
- Ultrasound of the scrotum and testicles. Necessary for the same purpose.
- Smear from the urethra. Designed to identify the suspected pathogen, if any. Meanwhile, the procedure itself is capable of provoking the development of temporary swelling of the scrotum.
- Puncture of the scrotum to take part of the transudate or biopsy of the alleged tumor.
- Histological and morphological studies of the scrotum. It is carried out on an exceptional basis and only to establish the nature of the neoplastic process in the tissues.
The treatment is symptomatic, as well as aimed at stopping the pathological causes of the development of the disease. Depending on the type of pathology, therapy may be:
- medication, with the use of a whole range of drugs (with varicocele, hydrocele, uncomplicated orchitis, epididymitis);
- manual (at testicular torsion 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.
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, which caused such an unpleasant manifestation. This is the only way to stop an unfavorable sign and return the patient to a healthy life.