Causes of scrotal swelling in children

The article was professionally consulted with Specialist Doctor I Nguyen Thi My Linh - Department of Pediatrics - Neonatology - Vinmec Danang International General Hospital.

Scrotal swelling is a bulge of the scrotal sac, caused by an injury or a medical condition. This condition can be caused by a buildup of fluid, inflammation, or an abnormal growth in the scrotum. The scrotum is the skin that surrounds the testicles and is the site of production, storage, and transportation of sperm and male sex hormones. The disease can appear at any age, including children.

Testicular torsion. This is when a small sac on top of the testicle suddenly twists. This causes pain in the tip of the testicles and scrotum, is common in boys between the ages of 8 and 12, and can be treated with over-the-counter pain relievers such as acetaminophen or ibuprofen. Epididymitis are infections that can be caused by bacteria or viruses that can occur in boys who have mumps. Epididymitis is an infection of the tubes near the testicles that store sperm. Symptoms include a feeling of heaviness, pain, and swelling in the scrotum. Sexually transmitted diseases such as chlamydia and gonorrhea can cause epididymitis. In older boys it can happen from unprotected sex or from an abnormality in the urinary tract. Zipper. If part of the scrotum, foreskin, or penis gets caught in the zipper, it can cause very severe pain. Henoch-Schönlein purpura causes painful swelling of the scrotum in boys with symptoms such as rash, joint pain, stomach pain, and blood in the urine. Other less common causes of scrotal swelling include other related injuries, cases of allergic reactions and possibly insect bites.

Inguinal hernia: The scrotum enlarges, disproportionately when the baby cries or runs, usually without pain, then it can collapse on its own when lying down. On palpation, the large hernia hole is palpable, and the bowel loop can be seen descending into the scrotum. Scrotal ultrasound helps confirm the diagnosis. If the scrotum is large, pain is accompanied by vomiting, abdominal distention... should immediately think of a strangulated inguinal hernia, take the child to the emergency room to avoid complications of necrosis of the hernia by pushing the hernia mass into the abdomen or by surgery. first aid if needed.
It should be noted that hernia is also seen in girls with the manifestation of large lip bulging, disproportionate to the other side, often appearing during exertion such as crying, running, jumping...then spontaneously deflates while lying down. The most common is the herniation of the ovaries and fallopian tubes into the labia majora. If choking, the child will be very painful, need emergency surgery to avoid necrosis.

Hydrocele: The scrotum is enlarged frequently, continuously, and is out of balance right after birth. No pain. Palpation showed signs of testicular membrane clamping. Ultrasound helps confirm the diagnosis.
spermatic cord cyst: Scrotum is enlarged regularly, continuously, unbalanced right after birth, painless, "Three stones" can be palpable. Ultrasound helps confirm the diagnosis.
For timely diagnosis and treatment of scrotal swelling in children, visit a doctor and find out the most appropriate treatment. As a key area of ​​Vinmec Medical system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of leading pediatricians: including leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All are well-trained, professional, with a mind - range, understanding young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.