Cystic swellings of scrotum are usually painless and can attain a very big size without causing much discomfort. Management of cystic swelling of a particular type can be done in various ways; hence there is a necessity to study the ideal modality of management for each type of cystic swelling of scrotum possible in our setup of rural hospital.Methods: A total of 100 cases of cystic swellings of scrotum fulfilling the methodology criteria's were subjected to preformatted study. Final diagnosis

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... as made with clinical examination and ultrasonography of scrotum. All cases were treated surgically.Results: Most of the patients were in age group of 51-60 years (30%), presenting feature being scrotal swelling as a main complaint in 86% of cases, majority of them were right sided (60%), primary vaginal hydrocele was the commonest cystic swelling (76%), followed by epididymal cyst, spermatocele, sebaceous cyst. Lord's plication was the procedure, which was associated with early discharge of the patient and least post-operative complications.Conclusions: Primary vaginal hydrocoele was the commonest cystic swellings of scrotum. Most of the cystic swellings were treated surgically with good results. Lord's procedure was the least to have post-operative complication.