Scrotal Conditions Treatments Birmingham

Scrotal Conditions Sutton Coldfield

The scrotum is a loose sac which contains the 2 testes. Both the testes are attached to a cord-like structure called spermatic cord which contains testicular artery, vein, nerve and also vas deferens tube which takes sperms from the testes into the penile urethra.

Treatments for Hydrocele is a collection of fluid in the scrotum surrounding the testes. It can be either unilateral or involve both sides.

Treatments for epididymal cyst is a benign cyst arising from epididymis which is a tubular structure attacked to the testis.

Epididymal cyst removal

Sutton Coldfield Epididymo-orchitis

Inflammation of the epididymis and testis is called epididymo-orchitis.

Symptoms : You will notice a painful, tender swelling of the scrotum with redness of the overlying skin. There could be associated burning and stinging of urine. If the infection is severe you may have fever and generally feel unwell.

Causes: Epididymo-orchitis can happen in patients with urinary infection from organisms such as
E. coli which can travel along the vas deferens to the epididymis and testis.

Treatment: If you notice a painful swelling of the testis you must contact either your GP or a urology specialist. After clinical examination of your scrotum an ultrasound will be arranged for further assessment. Urine is checked for infection. The majority of cases settle with 3 to 4 week course of antibiotics, scrotal support and rest. A small percentage however may prolong and can result in abscess which requires drainage.

Treatment Varicocele

A varicocele is a collection of enlarged dilated veins in the scrotum. It occurs either unilaterally or can be present on both sides. Varicoceles are common occurring in 1 in 7 men between the ages of 15 and 25. In most cases varicoceles are painless and cause no symptoms. However in a small percentage of patients a varicocele can be large and can give a feeling of dragging sensation and discomfort in the scrotum.

Treatment : If you notice a lump in the scrotum you must see your GP or a specialist who will carry out thorough examination of the scrotum. A scrotal ultrasound scan will be arranged.

  • No active treatment is needed in most of the cases.
  • In those cases where treatment is required dilated veins can either be blocked by embolisation carried out by an interventional radiologist under local anaesthetic.
  • Surgically the veins can be ligated either through a small incision in the groin or laparoscopically as a day case procedure under general anaesthesia.

Treatment Vasectomy

A vasectomy is a small operation to cut the vas deferens tubes which carry the sperm from the testes to the penile urethra. Vasectomy is an effective and permanent form of contraception. In the majority of cases the procedure is carried out as a day case under local anaesthetic which is injected into a small area of skin on either side of the scrotum above the testes. The vas tube is tied through a small cut over the scrotal skin.

Important points about vasectomy:-

  • Vasectomy is a permanent method of contraception. A reversal vasectomy is a complicated procedure which is not always successful and not available on the NHS.
  • Vasectomy is a reliable procedure for sterilisation but is not quite 100%.
  • About 1 in 1000 operations are not successful and semen test show sperms still present after operation.
  • You must continue to use contraception until at least 2 samples of semen have come back clear showing no sperms.
  • Even after initial successful operation 1 in 2000 men who have had a vasectomy will become fertile again at some point in the future. This is only in rare situations where the 2 ends of cut vas tube may reunite.
  • Small percentage of patients may get local swelling, bleeding or infection which in the majority of cases can be easily managed conservatively.
Mr Haider Syed Consultant Urological Surgeon

Urological Surgeon

Senior Consultant Urological Surgeon Working at Spire Little Aston Hospital, Sutton Coldfield, near Birmingham for last since 2005.

Graduated as a doctor in 1984 and have been working in the NHS for over 30 years. I started my Urology career in 1991 and completed training at the John Radcliffe and Churchill Hospital, Oxford in 2000.