Edema of the penis and scrotum
Introduction
Introduction Masturbation, sexual life is too rough, too frequent, penile cavernitis, etc. can cause blood flow back in the penis blocked, causing penile edema. Scrotal edema can be divided into congenital and acquired. The scrotal edema may be swollen in appearance, or the scrotum on one side is larger than the other side, inconvenient, easy to be injured, sometimes combined with swelling and pain, and even affecting the blood circulation of the testicle due to excessive water accumulation, which may cause the testicle to shrink over time. Influencing the ability of the testicles to produce sperm in the future, causing infertility.
Cause
Cause
Causes of penile and scrotal edema:
Scrotal edema can be divided into congenital and acquired, the following factors:
Congenital scrotal edema: occurs in newborn babies, because the testiculars fall to the scrotum, the channel sheath between the abdominal cavity and the scrotum is not completely closed, so that ascites flows into the scrotum, surrounding the testicles to form congenital scrotal edema.
Acquired scrotal edema: occurs mostly in adults. Because of local trauma, the scrotum is impacted, the scrotum testicles have received radiation therapy, acute and chronic testicular inflammation, tuberculosis invades the testis, and the testis can cause scrotal hydrops. In addition, males under 40 years of age suddenly have scrotal water must consider testicular length. Tumors cause water in the scrotum due to tumor stimulation. 10% of testicular tumors first appear as symptoms of scrotal edema.
Examine
an examination
Related inspection
Penis examination scrotum examination
Examination of the diagnosis of penile and scrotal edema:
Penile edema occurs after the patient's sexual life, and it is clear that fungal vaginitis is more likely to consider fungal foreskin balanitis (of course, local secretion culture has been confirmed). Antibiotics are prohibited from treatment.
Symptoms of scrotal edema are swelling of the scrotum on one or both sides. The causes and symptoms are similar to those of the inguinal hernia, so they are often mistaken for hernia.
Diagnostic physical examination: In a dark place, use a flashlight to shine on the swollen scrotum. If it is clear, it will transmit light, indicating that it is scrotal water. If it is not transparent, it may be hernia or testicular tumor. Further diagnosis is needed. . Ultrasonic examination: Ultrasound examination can best help diagnose and identify whether it is a tumor or edema.
Diagnosis
Differential diagnosis
Identification of symptoms that are easily confused between penis and scrotal edema:
Scrotal edema: During the embryonic period, there is an "abdominal sheath" in the groin that can help the testicles fall into the scrotum or the fixation of the uterine ligament. After some children are born, the sheath is incompletely closed, causing the peritoneal fluid in the abdominal cavity to enter the scrotum, which is scrotal edema. May occur several days, months or years after birth. Usually after the child is crying, exercising, and relaxing, there will be a bulge in the scrotum or labia, which may disappear after bed rest or sleep. Severe cases can cause abdominal pain, nausea, vomiting, anorexia or crying.
Sperm thickening and swelling is one of the symptoms of spermatic inflammation. After getting spermatic inflammation, inflammation can cause thickening and swelling of the spermatic cord. When it adheres to surrounding tissues, scrotal swelling, lower abdominal pain and perineal traction pain can occur. If the infection is serious, there may be systemic reactions such as fever and headache.
Simple spermatic cords are rare, mostly caused by the spread of infections in other parts of the reproductive system. The disease is more acute, the spermatic cord is thicker, the local pain is more obvious, and it can be radiated along the spermatic cord to the groin, even the upper or lower abdomen. Check the surface of the skin redness and swelling, the spermatic cord is spindle-shaped or strip-like thickening, tenderness is obvious, and the vas deferens is unclear. There is a sense of fluctuation after the abscess is formed.
Scrotal enlargement refers to the lesion of the scrotal skin and its contents (the sheath testis, epididymis and spermatic cord), or the contents of the abdominal cavity (ascites viscera) fall into the scrotum, resulting in an increase in the size of the scrotum. Infectious scrotal cysts are mostly accompanied by redness, heat, pain and other symptoms; testicular or attached tumors often have pain; as in the late stage of the skin, often due to secondary infections, there are eczema or ulcers in the patient's sexual life after penile edema, it is clear that Fungal vaginitis is more likely to consider fungal foreskin balanitis (of course, local secretion culture has been confirmed). Antibiotics are contraindicated.
Symptoms of scrotal edema are swelling of the scrotum on one or both sides. The causes and symptoms are similar to those of the inguinal hernia, so they are often mistaken for hernia.
Diagnostic physical examination: In a dark place, use a flashlight to shine on the swollen scrotum. If it is clear, it will transmit light, indicating that it is scrotal water. If it is not transparent, it may be a hernia or a tumor. Further diagnosis. Ultrasonic examination: Ultrasound examination can best help diagnose and identify whether it is a tumor or edema.
