Within the scrotum you have the testicles (which I am sure that you know). Scrotal swelling can occur due to an injury or an underlying medical condition. It may be caused by an accumulation of fluid, inflammation,an abnormal growth or the testicle become twisted in the scrotum. This is not only very painful it is an emergency situation. You need to see your doctor for an examination. If you are in pain because of scrotal swelling then you need to go to the ER asap.
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