Testicular swelling refers to enlargement, heaviness, or visible increase in size of the scrotum. It may be painless or associated with discomfort, fever, or acute pain.
Causes range from benign conditions such as hydrocele to emergencies such as testicular torsion.
A hydrocele is fluid accumulation around the testicle. It typically presents as painless swelling and may gradually increase in size.
Varicocele is enlargement of scrotal veins and may feel like a “bag of worms.” It can cause discomfort and may impact fertility.
Infection or inflammation of the testicle or epididymis may cause swelling, redness, and fever.
Twisting of the spermatic cord cuts off blood supply to the testicle and causes sudden severe pain. This is a surgical emergency requiring immediate treatment.
Painless testicular enlargement or a hard lump may indicate malignancy and requires urgent evaluation.
Evaluation typically includes:
Ultrasound helps differentiate fluid collection, infection, vascular issues, and tumors.
Symptomatic hydrocele is treated surgically with a minor procedure.
Microsurgical or laparoscopic repair may be recommended if symptomatic or affecting fertility.
Infections are treated with antibiotics and anti-inflammatory medications.
Testicular torsion requires urgent surgical correction to save the testicle.
Suspicious masses require prompt surgical evaluation and oncological management.
Delayed treatment of testicular torsion can result in permanent loss of the testicle. Untreated infection may lead to abscess formation. Early tumor detection significantly improves survival rates.
Dr Manmeet Singh, Director – Urology, Robotics & Kidney Transplant at Medanta Lucknow, provides comprehensive diagnostic evaluation and advanced surgical treatment for scrotal and testicular disorders using evidence-based protocols.
If you notice persistent swelling or sudden pain, immediate specialist consultation is advised.
Early evaluation ensures accurate diagnosis and appropriate treatment.
Book Consultation