Shriniket Sanjeev Sawarkar, Dr Pradeep N Katakwar, Satish Deshmukh, Murtaza Akhtar


Aims and Objective: To study etiology, clinical manifestations, Imaging and management of scrotal swellings.

Observations and Results: The numbers of patients enrolled in this study were 343. The mean age of the patients was 48.39 11.371 years with a range more than 18 years. Primary vaginal hydrocele was most commonly observed in more than 40 to 50 years of age group accounting for 44.5% of the total patients. Swelling was the most common complaint amongst the subjects i.e. 100% Associated pain was observed in 135 (39.3%) subjects and fever was there in 35 patients. All 343(100%) subjects had getting above the swelling positive fluctuation was present in 321(93.6%) patients; Transillumination was present in 270 (78.7%) subjects. Ultrasonography was done in all subjects among which 307 (89.50%) were hydrocele, Epididymoorchitis were 18(5.2%), pyocele was 12 (3.5%), testicular malignancy were 6 (1.8%). Ultrasonography was a fairly sensitive imaging study for diagnosis of patients. Serological marker was done in all testicular malignancy and suggested significant elevation i.e. serum Alpha Feto protient was more than 10 ng/ml , serum beta HCG was more than 5IU/ml Serum LDH more than normal limit of 120 to 280 u/L in all cases 6.

Conclusion: Patients were operated with eversion of sac 296 (86.3 %), Lord’s plication was done in 3(0.9%) for Hydrocele, Orchidectomy was done in 16 (4.7%), incision and drainage was done in cases of Pyocele 12 (3.5%) and patients of epididymoorchitis 16 (4.66%) patients were managed conservatively. In this study only 4 (1.1%) patients developed post operative haematoma and 5 (1.45%) patients had post operative surgical site infection. Thus, this study states that surgical management is gold standard for scrotal swelling and remains mainstay treatment.


Scrotum, Hydrocele, Pyocele, Chylocele, Haematocele, Testicular malignancy.


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