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Painless swelling of the scrotum

Also called: Hydrocele

Painless swelling of the scrotum is often a hydrocele (fluid) and usually harmless. It should be checked.

Common causesHydrocele, hernia
Usually serious?Usually not
Get checked ifAny swelling
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

Common in babies.

Hernias can look similar.

When to get medical care

Call 911Sudden severe pain.
Get care todayPain or redness.
See a doctor soonPainless swelling.

Causes

Causes include hydrocele and hernia.

OwieClear has pages on 3 conditions that can cause painless swelling of the scrotum. Each shows how soon to get care.

Common causes

  • HydroceleSee a doctor if it doesn't get better

    Fluid around a testicle that makes the scrotum swell.

Less likely causes

  • Testicular cancerSee a doctor if it doesn't get better

    Cancer of a testicle, the most common cancer in men ages 15 to 35.

  • SeminomaSee a doctor if it doesn't get better

    One of the two main types of testicular cancer, usually in men ages 25 to 45.

What you can do at home

  • Supportive underwear.

Medicines

Surgery if large.

At the doctor

Ultrasound checks.

Questions you may be asked

  • Duration

The exam

A scrotal exam.

Tests

  • Ultrasound

Prevention

Get checked.

  • Self-checks

Check your symptoms

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Sources

Last updated 2026-11-13.