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Scrotum Swelling Due To Rectal Cancer Surgery?

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Posted on Tue, 22 May 2012
Question: If having surgery for rectum cancer last year can cause my scrotal to swell up to the size like a football?
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Answered by Dr. Jasvinder Singh (32 minutes later)
Hello XXXXXXX

Thanks for posting your query. If you had a surgery of rectal cancer last year and now the scrotum has enlarged to a size equivalent to a football, it is unlikely to be related to the rectum cancer surgery but it can be due to a benign or malignant tumor of the scrotum independently.

Such an enlargement of the scrotum can also be due to hydrocele testis which is a collection of sterile fluid in the cord attached to the testicle, which is invariably harmless. Left untreated, a hydrocele can grow to a large size (even a football) and cause discomfort.

It can be demonstrated by shining a flashlight (transillumination) through the enlarged portion of the scrotum. If the scrotum is full of clear fluid, as in a hydrocele, the scrotum will light up unlike a tumor which being a solid does not light up. An ultrasound may be done to confirm the diagnosis and is one of the best tests. I suggest you to consult a general surgeon and get done these tests to confirm the diagnosis.

If it is a hydrocele it has to be drained surgically.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards.





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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Jasvinder Singh

Internal Medicine Specialist

Practicing since :1998

Answered : 1578 Questions

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Scrotum Swelling Due To Rectal Cancer Surgery?

Hello XXXXXXX

Thanks for posting your query. If you had a surgery of rectal cancer last year and now the scrotum has enlarged to a size equivalent to a football, it is unlikely to be related to the rectum cancer surgery but it can be due to a benign or malignant tumor of the scrotum independently.

Such an enlargement of the scrotum can also be due to hydrocele testis which is a collection of sterile fluid in the cord attached to the testicle, which is invariably harmless. Left untreated, a hydrocele can grow to a large size (even a football) and cause discomfort.

It can be demonstrated by shining a flashlight (transillumination) through the enlarged portion of the scrotum. If the scrotum is full of clear fluid, as in a hydrocele, the scrotum will light up unlike a tumor which being a solid does not light up. An ultrasound may be done to confirm the diagnosis and is one of the best tests. I suggest you to consult a general surgeon and get done these tests to confirm the diagnosis.

If it is a hydrocele it has to be drained surgically.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Regards.