If my newborns scrotum is all swollen and puffy, what does it mean?

Likely a hydrocele: About half of all newborn boys will have a condition called a communicating hydrocele. This means that there is an opening between the abdominal cavity and the scrotum. Fluid accumulates in the scrotum, causing painless swelling. This condition usually resolves on its own within one year. Any pain or redness could indicate a more serious condition. Either way, your baby's doctor should evaluate it.

May be a hydrocele: In a small but significant number of newborn boys (about 10%) there is an amount of fluid that fills the scrotum around the testicles. This is called a hydrocele. Usually it resolves over the first year of life and causes no harm. If the scrotum looks red or gets bigger you should have your baby evaluated immediately by your pediatrician to rule out a hernia or problem with the testicle.

Edema or hydrocele: Both are benign and should settle down.