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Scrotal Hernia

Features and surgical management of giant hernia where inguinal hernia extends into the scrotum.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Scrotal Hernia?

Scrotal hernia is the extension of a long-neglected, large indirect inguinal hernia from the inguinal canal into the scrotum. Bowel loops, omentum, and even the bladder may be located in the scrotum. Because it is mostly painless, patients may delay surgical consultation.

In giant scrotal hernias, the bowel segment remains in the scrotum for a long time, leading to adhesion development, and testicular vascular structures may be at risk. Preoperative evaluation with CT and ultrasound determines content, vascular structure, and bowel status.

Surgical repair is performed with open Lichtenstein or Bassini techniques; laparoscopic repair is technically difficult in large scrotal hernias.

Symptoms

Large, soft, painless swelling growing in size in the scrotum over time
Swelling that does not completely disappear when lying down
Difficulty walking and sitting (in giant hernias)
Thinning and ulceration of scrotal skin (in very large hernias)
Sudden pain and tenderness in strangulation

Risk Factors

Long-term neglected groin hernia
Elderly men
Chronic constipation and increased intra-abdominal pressure
Difficulty accessing surgery due to socioeconomic barriers
Connective tissue weakness

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Progressively growing swelling in the scrotum
  • Strangulation signs: sudden pain, hardness (emergency)
  • Walking difficulty and limitation of daily activity
  • Thinning or color change of scrotal skin

Treatment Methods

01
Preoperative CT for content and vascular structure assessment
02
Open inguinal hernioplasty: Lichtenstein mesh or Bassini technique
03
Bowel reduction: careful dissection if adhesion is present
04
Orchiopexy or oophorectomy: if testicular/ovarian vascularity is at risk
05
Preoperative pneumoperitoneum to increase abdominal capacity in giant hernias
06
Postoperative testicular blood flow should be assessed by ultrasound

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.