Scrotal swellings are a common problem among the men of all ages. The common differential diagnosis includes Hydrocele, Epididymo-orchitis, Epididymal cyst, Torsion, Varicocele, Tumour. The present study has been conducted on fifty patients in Geetanjali medical college and hospital, Udaipur to evaluate the epidemiology and clinical presentation of the scrotal  swelling. Prompt clinical examination followed by appropriate imaging is the key to early diagnosis and management. Ultrasound is an important investigation. Incidence of various scrotal swelling is Hydrocele 48%, Epididymo-orchitis 32%, Testicular torsion 4%, Varicocele 4% and Fournier’s Gangrene is 8%.

Keywords: Hydrocele; Scrotal Swelling; Torsion; Varicocele.