Syringomyelia is usually not associated with significant pain, but only with a local increase in volume or a feeling of scrotal swelling. Syringomyelia is usually a benign, progressive, slow enlargement process that does not cause acute pain, but rather an increase in scrotal volume, which may cause mild pain or swelling when the enlargement reaches a certain level and surface tension increases. However, if the syringomyelia is caused by trauma or acute inflammation, it may be painful in the early stages, such as the accumulation of blood in the sphincter cavity after trauma, which may be accompanied by pain and temperature increase, or local skin redness and swelling. If the effusion is caused by acute inflammation with increased exudation, it may be accompanied by acute pain or changes in body temperature or skin temperature. To confirm the diagnosis, an ultrasound of the scrotum or inguinal region is required to determine the exact amount of sphingomyelia. At the same time, routine urine and blood tests can be performed to further rule out any co-infection.