Background: Scrotal cystic swellings can grow to enormous sizes without generating any pain. They are often painless. It is necessary to research the best method of care for each type of scrotal cystic swelling that can be treated in nizams institute as there are several ways to treat different cystic swellings. Martial and Methods: One hundred cases of scrotal cystic swellings that satisfied the methodological criteria were examined in advance. Ultrasonography of the scrotum and a clinical examination led to the final diagnosis. Surgery was used to treat every instance.