A normal scrotum is symmetrical on both sides, soft and of uniform thickness when touched; the testicles on both sides are the same size, with clear boundaries and uniform hardness; the epididymal cysts on both sides are similar, etc. The contents of the scrotum examination include: checking whether the scrotum on both sides is symmetrical; whether there are any changes in the scrotum skin; whether the testicles on both sides are of similar size when touched, and whether there is any dull pain. There are several possible causes of scrotal enlargement: Male hydrocele and spermatic hydrocele. Male hydrocele is the most common. Simple male hydrocele usually disappears naturally and does not require special treatment. If the hydrocele does not disappear after 3 years of age, surgical treatment should be sought. Congenital inguinal oblique hernia. Other male testicular diseases can cause scrotal enlargement, such as testicular torsion, epididymitis, epididymal tuberculosis, etc. Male testicular tumors can also cause scrotal enlargement. Therefore, when the two sides of the scrotum are found to be different, it is necessary to distinguish and refer to the surgeon immediately. Male testicles are large, which is undoubtedly abnormal. Scrotal ultrasound examination should be performed to distinguish whether there is acute orchitis or scrotal hydrocele. Based on B-ultrasound, a reasonable diagnosis can be made. If there is orchitis, the male testicles will be swollen and painful. If not properly treated, the male testicles will further expand. If it is hydrocele, the amount of blood accumulates more and more, and the scrotum becomes larger and larger. Many people think that the testicles are getting bigger. In fact, in this case, the male testicles are not enlarged, but the scrotum is enlarged. It is recommended to treat the original disease after the examination is clear. If it is orchitis, you need to rest in bed and apply broad-spectrum antibiotics intravenously. If it is hydrocele, you need to be treated surgically. |
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