Scrotal Hernia: Definition, Causes, Symptoms, Diagnosis, Treatment and Recommendations

It is a protuberance that forms outside the scrotum and depending on the dimensions warrants surgical treatment.

How is a Scrotal Hernia produced?

It occurs when the tissue pushes a weak spot in the groin muscle forming a lump in that extremity of the body. Depending on the size it can cause pain when coughing or lifting heavy objects.


Scrotal hernias occur when the muscle wall has an opening and does not close properly. This can happen in the process of embryo formation in pregnancy.

The continuous pressure in that area causes the tissue to push and protrude. Hernias, regardless of the area of ​​their location, can be formed shortly after birth or many years later.

Most hernias arise from being overweight or from continually lifting heavy objects, even more than the body can withstand and coughing frequently.

Statistically it has been proven that men tend to suffer more from hernias than women.

Women can develop hernias when they are in the gestation period of the fetus due to the pressure that occurs in the wall of the abdomen.

Symptoms of a Scrotal Hernia

The first to detect a scrotal hernia is to detect a lump in the groin or scrotum, sometimes in the round.

It can be formed in periods of a few weeks, months or years. Sometimes it does not generate pain or serious discomfort in the affected person, as long as its size is not extremely large.

This type of hernias can cause inflammation in the affected area (scrotum) and a feeling of heaviness, even burning, improving when the body is at rest.

Symptoms such as nausea or vomiting may also occur when the hernia presses on part of the intestine.

Symptoms of an inflammation in the scrotum:

It occurs when an enlargement occurs in the scrotal sac, which houses the testicles. Inflammation can be caused by fluid retention or abnormal growth in the area such as a hernia.

This condition may not necessarily cause pain but in some cases it is unbearable. Depending on the cause, if it does not receive the appropriate treatment it can cause the loss of the testicles.


The specialists diagnose a Scrotal Hernia when a general and physical examination is performed. The bulk is usually easy to feel and more when proportionally large.

Treatment for a Scrotal Hernia

The Scrotal Hernias do not disappear on their own, it is usual to treat them surgically to remove them or reduce their size.

If the hernia does not present major complications for the affected person, it is most likely that the treating doctor does not submit the patient to surgery. Sometimes it does not get worse or grows and if it does, the operation is scheduled.

If the scrotal hernia is pressing the intestine, although its size is not so large and the patient does not present symptoms or complaints and is discovered by a routine check, the doctor may recommend surgery.

This is because the intestine can have a “strangulation”. This condition is a high-risk problem and occurs when the small intestine is trapped inside the hernia.

However, it is not an emergency intervention. In some cases babies and young children are more likely to have this condition because the tissue of the intestine is trapped in a hernia. In them for security issues if surgery is recommended to repair this malformation.

What is a strangulation in the intestine?

The obstruction or interruption of the blood that goes to the intestine is indicated as a strangulation.

This condition occurs in most cases because the intestine is trapped in an anomalous opening, better known as a hernia, this can cause a perforation, which produces peritonitis and if not treated in time, can cause the death of the patient.

If necessary, the treating doctor can perform a scrotal ultrasound to see inside. This test will allow to see if there is any abnormality within the scrotal sac.


If the habits that stimulated the development of a Scrotal Hernia do not change, such as the increase of heavy things or suffering from a chronic cough, they can cause you to create a hernia again even if you have previously removed it with surgery.