- Edema with epididymitis
- Allergic edema
- Edema in tumors of the scrotum
- Torsion of the testis
At present, diseases of the genitourinary tract inmen meet quite often. The most common pathology is cystitis, epididymitis, urethritis, inguinal hernia, orchitis and some other diseases. Often, men have a symptom such as swelling of the scrotum. It is an organ that, in its structure, resembles a leathery bag. It contains male sex glands - testicles, appendages and part of the vas deferens. The scrotum has many sebaceous and sweat glands. All this contributes to the rapid development of the inflammatory process with the penetration of infection.
Very often, puffiness is accompanied by an increasethe size of the scrotum. Edema occurs with various diseases. It can be observed with inflammation of the epididymis or testicles themselves, inguinal hernia, twisting of the male sex glands, traumatic injuries. Less often, edema occurs with elephantiasis, various allergic reactions, neoplasms (tumors). Swelling is rarely the only symptom in men. More often it is accompanied by redness, a violation of urination, pain. Let's consider in detail, at what diseases the swelling of the scrotum is observed, the causes of the onset and additional symptoms.
If the testicle or scrotum is swollen in men, then this may indicate epididymitis. Epididymitis is an inflammatoryprocess of epididymis. It is accompanied by redness, swelling. Epididymitis develops against the background of the spread of various microorganisms. These can be E. coli, cocci, proteus, Klebsiella, microscopic fungi. Of great importance are sexually transmitted infections (gonorrhea, chlamydia, trichomoniasis). Penetration of the pathogen is carried out in several ways: ascending and descending. This is observed in the presence of foci of chronic infection, for example, with cystitis, urethritis.
Swelling may occur after medicalmanipulation (catheterization), after the transferred mumps or tuberculosis. Often, the testicles can be involved in the process, then orchitis develops. The main symptoms of inflammation of the epididymis and testis are swelling of the scrotum or testicles in men, pain in the palpation, pain in the groin, soreness in the discharge of urine, burning, various discharge from the urethra. Common symptoms include fever, discomfort. Men often have problems with ejaculation. There are pains in the allocation of semen. It can contain blood. In addition, the scrotum can be hot to the touch.
Swelling of the scrotum can be observed at variouspathologies, therefore it is important to timely diagnose epididymitis. It involves conducting general tests of blood and urine, ultrasound, sowing urine to isolate the culture of the pathogen, scanning. Treatment includes the use of antibacterial agents. It is preferable to use drugs from the group of fluoroquinolones, macrolides or tetracyclines. Physiotherapy, application of NSAIDs is shown. The scrotum should be at rest. To stimulate immunity, the appointment of immunomodulators is advisable.
The presence of swelling may be a consequence ofallergic reaction. Provoking factors can be various allergens: food, household allergens, pollen. The presence of swelling of the testicle or scrotum is observed only in highly sensitive men, healthy swelling does not occur. In some cases, before the onset of edema, rhinitis, an attack of bronchial asthma, a rash like a urticaria can occur. How does the allergic edema manifest itself? Everything starts from the moment of penetration into the body of the allergen. After this, men develop edema, indicating an allergic nature of the scrotal tumor.
Men are bothered by itching, pain may be absent. Allergy does not cause urinary disorders or sexual dysfunction. A distinctive feature of such a scrotal tumor is that it increases evenly on both sides. For example, if men have benign testicular tumors. then edema is more often observed only on one side. Allergy is characterized by redness, and not blue streak. Swelling of the testicles or scrotum occurs very quickly, and in the same way it disappears. No other symptoms (fever, pain) of sick men do not bother. Allergic edema in most cases is treated conservatively with the use of medications. To this end, prescribed antihistamines. If they are ineffective, hormone administration is indicated.
Edema in tumors of the scrotum
Not always puffiness develops against a backdrop of inflammatory and allergic processes.
A special group of diseases that can lead to the formation of an edema in the scrotum are various neoplasms in men.
This pathology is the most dangerous,because malignant tumors are often detected in later stages. Tumors of the scrotum are very rare. They can be benign and malignant. The first group includes papilloma, fibroma, lipoma and others. The second - rhabdomyosarcoma, liposarcoma. Men can develop scrotum cancer. Malignant tumors on the scrotum are able to give metastases to the inguinal lymph nodes. In more severe cases, distant organs may be affected. In the early stages of such neoplasms in men can not show themselves in any way: there are no pains, discomfort. But as the disease progresses, swelling is observed.
It is important that scrotal cancer is moreprofessional pathology. Its development is promoted by some chemical substances possessing carcinogenic properties. Treatment of a tumor on the scrotum is surgical (operation). In the early stages of the operation can give a positive result. If the operation is performed in the presence of metastases, in particular distant, the prognosis is more often unfavorable. Additional methods of therapy of education in the scrotum are irradiation and the use of chemotherapeutic agents. In a situation where the tumor sprouts in the testes, an operation is performed to remove the corresponding half of the scrotum together with the testicle. Such treatment of a tumor is mandatory.
Prophylaxis of scrotal tumor formationis aimed at the timely detection and treatment of precancerous conditions. Of great importance is the treatment of chronic pathology, prevention of scrotal injury. It should be remembered that the operation for swelling of the scrotum should be carried out immediately after diagnosis. Important for prevention is compliance with personal hygiene rules, preventing contact with carcinogens.
In addition to formations in the scrotum,there is a twisting of the testicle. This is an acute pathology requiring urgent care. Very often, this ailment develops against the background of cryptorchidism. Cryptorchidism is the non-admission of the male gonads into the scrotum. Traumatic organ injuries, including bruises, also lead to the formation of a torsion in the scrotum. The provoking factors are sharp movements, heavy physical exertion, overstrain of muscles. This leads to a reduction in muscle fibers, which raise the testicle.
As with a tumor of the scrotum, it is observedswelling. When twisting 180 degrees disturbed blood flow that leads to hemorrhage, accumulation cavity transudate into the scrotum. This condition is characterized by pain. Pain can be given to the perineum, groin. Often there is nausea, vomiting. With the formation of the transudate, there can be discharge from the urethra, dysuric phenomena. Treatment includes a detox (unwinding) or an operation. Thus, the presence of edema is a symptom of more serious diseases. All this requires the doctor to properly diagnose and treat.