A study on clinical presentation scrotal swellings at a tertiary care hospital

Sometimes scrotum can become swollen without any apparent cause. This condition, known as idiopathic scrotal edema, is thought to be caused by streptococcus hemolyticus and Cl. Welchii. Scrotum can become swollen due to systemic illnesses causing generalized edema, as in congestive cardiac failure (CCF), nephritic syndrome, and cirrhosis of liver and hypoproteinaemic states. The 100 cases admitted to the surgical wards in Medical College Hospital and Research Center, formed the material for this study. Various types of hydrocele formed the majority of the cases (50) in this study, out of which primary vaginal hydrocele (45%) was the commonest followed by varicocele (13%). Epididymo-orchitis accounted for 9% of the cases out of which 7 were acute epididymo-orchitis due to UTI (E. coli, Proteus, Klebsiella). Chronic epididymo-orchitis due to tuberculosis was seen in two.