Abstract
This chapter discusses the symptoms and causes for inguinoscrotal swelling. Inguinoscrotal swellings almost necessarily arise in the constituents of the spermatic cord or in a persistent funicular process. Hernia is by far the commonest inguinoscrotal swelling, and is the only one that gives an impulse on coughing and that can be reduced into the abdomen. A varicocele is an inguinoscrotal swelling that is chiefly scrotal. It is nearly always on the left side. The distended veins of the pampiniform plexus resemble a bag of worms. A congenital hydrocele is a persistence of the processus funicularis throughout its length and differs from a congenital hernia in that the communication with the abdomen is shut off, or so nearly shut off that bowel or omentum cannot enter it. The condition is seen most commonly in infants. Hydrocele is a congenital hydrocele is a persistence of the processus funicularis throughout its length, and differs from a congenital hernia in that the communication with the abdomen is shut off, or so nearly shut off that bowel or omentum cannot enter it.
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