• Benign Prostatic Hyperplasia
  • Hormone Therapy
  • Genomic Testing
  • Next-Generation Imaging
  • UTUC
  • OAB and Incontinence
  • Genitourinary Cancers
  • Kidney Cancer
  • Men's Health
  • Pediatrics
  • Female Urology
  • Sexual Dysfunction
  • Kidney Stones
  • Urologic Surgery
  • Bladder Cancer
  • Benign Conditions
  • Prostate Cancer

Painless testicular swelling: What’s your diagnosis?


In this case study, a man in his fifth decade of life complained of right side testicular swelling that had persisted for 2 weeks. He reported no pain.



Case History: A male patient in his fifth decade of life complained of right side testicular swelling that had persisted for 2 weeks. The patient reported no pain.







Figure 1. Longitudinal view of the right testicle showing hydrocele. Epididymal head is also visualized.





Figure 2. Transverse view of the right testicle showing loculated hydrocele.



Diagnosis: Testicular hydrocele



Although hydroceles are typically idiopathic in origin, in older males, a hydrocele can occur as a result of injury/trauma, inflammation, or inguinal surgery.1

Testicular hydrocele is the most common reason for painless scrotal swelling. It affects about 1% of men, mostly above the age of 40 years, and 4.7% of neonates.1

A testicular hydrocele is not life threatening, but it can be associated with underlying conditions that can be considered more serious.2 An infection and hernia can both cause fluid to be trapped and lead to further complications.2 Depending on the amount of fluid, a larger hydrocele may result in chronic scrotal pain and may cause injury to scrotal contents such as the testicles.






A testicular hydrocele typically goes away on its own within 6 months. Hydroceles can be treated via surgical resection or aspiration if it’s large enough to cause the patient discomfort.1



1. Ahmad T, Ullah S, Nabi G, Ullah N, Rahman K. A mini review on hydrocele: the most common scrotal problem. Social and Basic Sciences Research Review. 2:12:571-575.

2. Nippoldt T. Hydrocele. Mayo Clinic. 2014. Available at: http://www.mayoclinic.org/diseases-conditions/hydrocele/basics/definition/con-20024139. Accessed on March 1, 2015.

To get weekly news from the leading news source for urologists, subscribe to the Urology Times eNews.

Related Videos
Dr. Landon Trost in an interview with Urology Times
Related Content
© 2024 MJH Life Sciences

All rights reserved.