be a challenge to diagnose since they can mimic cysts or neoplasms. There can different exams used in combination to make a final diagnosis: Physical exam Ultrasound Urine test Blood test CT scan MRI scan Differential diagnosis of hematocele includes testicular tumor, testicular torsion, and epididymitis. In a blood test or urine test, serum levels of tumor markers such as (alpha-fetoprotein, carcinoembryonic antigen, β-human chorionic gonadotropin) can help to reveal if testicular cancer is present which can help with the differential diagnosis. When there is no certain cause, a diagnosis of idiopathic scrotal hematocele will be made. In the case of chronic idiopathic scrotal hematocele, a history of trauma to the perineum is usually denied, which is a key evidence for the diagnosis of scrotal hematocele that is idiopathic. If no evidence of hematological alterations or vasculitis is present, that can indicate for another possible cause of scrotal hematocele. Treatment Most hematoceles will require minor or more serious medical procedures depending on the severity. The repair of a hematocele rupture may be difficult, especially if it is circumferential. This is because in such cases a large portion of parenchyma is herniated and may already be necrotic. If the hematocele is relatively small and does not cause a lot of pain, conservative treatment such as foot elevation and bed rest may be sufficient. In more severe cases, surgical intervention may become necessary. Surgery may be performed to drain the accumulated blood from the scrotum. If a testicular tumor is found to be the cause of the bleeding, the entire testicle is generally removed to prevent cancer from spreading to other parts of the body. If surgery becomes necessary to treat the hematocele, it may take several weeks for the patient to recover fully from the procedure. This is due to the fact that the scrotum tends to swell after the surgery. This swelling can cause discomfort or pain that does not easily go away. Prescription medications are often given to help the patient recover from the surgery. Regular medical checkups can help a doctor to look out for any type of hematocele. Early detection is the key in treating most medical conditions. With different types of hematoceles, complications can develop very quickly so it is particularly important to receive an early diagnosis. In order to prevent hematoceles, it is important to have testicular self-exams to help find abnormalities sooner. Doing this