Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute/subacute scrotal swelling and discomfort following [trauma/surgical procedure/spontaneous onset]. Reports progressive increase in scrotal volume, localized pain, and sensation of heaviness. Denies fever, chills, or dysuria. No history of prior scrotal pathology.
Clinical Examination Findings
Scrotal examination reveals a non-transilluminating, firm, tense, and enlarged hemiscrotum. Palpation demonstrates a fluid-filled collection surrounding the testis, often obscuring the epididymis. Tenderness is variable depending on the chronicity. Scrotal ultrasound confirms a complex fluid collection with internal echoes/septations, consistent with hematocele. Testicular parenchyma appears intact.
Treatment Protocol
Management plan: Conservative approach with scrotal support, ice packs, and NSAIDs for mild cases. Surgical intervention (scrotal exploration and hematoma evacuation) is indicated for large, symptomatic, or rapidly enlarging hematoceles, or if testicular rupture cannot be excluded. Post-operative care includes scrotal elevation, wound monitoring, and prophylactic antibiotics if indicated.