Why is the scrotum swollen?

Scrotal swelling may be caused by varicocele, epididymitis, testicular torsion, inguinal hernia, scrotal edema and other reasons. It is recommended to seek medical treatment promptly and follow the doctor's instructions for treatment after determining the cause.

Varicocele is a common cause of scrotal swelling and is more common in young and middle-aged men. Due to the obstruction of spermatic vein return, the venous plexus in the scrotum is dilated and tortuous, manifesting as a feeling of scrotal swelling, which is aggravated after standing for a long time or after exertion. Medications such as Maizhiling tablets and diosmin tablets can be used as directed by the doctor to improve venous return. In severe cases, high spermatic vein ligation is required.

Epididymitis is mostly caused by bacterial infection and manifests as scrotal swelling accompanied by pain, redness and swelling. In the acute stage, bed rest is required, the scrotum is held up, and antibiotics such as levofloxacin tablets and cefixime dispersible tablets are used as directed by the doctor. Chronic epididymitis can be combined with hot compress to relieve symptoms.

Testicular torsion is a urological emergency, which is a sudden severe pain in the scrotum with a feeling of swelling and may be accompanied by nausea and vomiting. The testicle needs to be surgically reset and fixed within 6 hours, otherwise it may lead to ischemic necrosis of the testicle. If you suspect testicular torsion, seek emergency medical treatment immediately.

When an inguinal hernia occurs, the abdominal contents fall into the scrotum, causing a bloating sensation that can be relieved by lying down. Infants and young children can be observed and waited, while adults require hernia repair. Avoid heavy physical labor for 3 months after surgery to prevent recurrence.

Scrotal edema may be caused by systemic diseases such as heart failure and nephrotic syndrome. The primary disease needs to be treated, and the scrotum can be partially elevated to reduce the feeling of swelling. For idiopathic scrotal edema, sodium intake can be restricted, and furosemide tablets can be taken as a diuretic if necessary.

In daily life, you should avoid standing and sitting for long periods of time and wear loose, breathable underwear. The diet should be light and spicy foods should be limited. Moderate exercise can promote pelvic blood circulation, but strenuous exercise should be avoided to aggravate symptoms. If the symptoms persist or worsen, you should see a urology department or andrology department in time.