Diagnosis and management of a scrotal wall mass with the aid of a Scrotoscope: a descriptive observational study
1Shengli Clinical Medical College of Fujian Medical University, 350001 Fuzhou, Fujian Province, China
2Department of Urology, Fujian Provincial Hospital, 350001 Fuzhou, Fujian Province, China
3Department of Urology, the Second Xiangya Hospital, Central South University, 410012 Changsha, Hunan Province, China
Submitted: 27 February 2021 Accepted: 24 March 2021
Online publish date: 11 June 2021
Background and objective: A scrotal wall mass is relatively rare in clinical practice, and very diﬃcult to differentiate from a scrotal content lesion by a physical or ultrasound examination. In this study, we share our experience with the scrotoscope for diagnosing and treating scrotal wall masses.
Methods: We retrospectively reviewed all clinical data of scrotal wall mass patients treated by our medical team between June 2015 and July 2019. Diagnostic value was evaluated by comparison with a Doppler ultrasound examination and therapeutic value was evaluated by comparison with traditional surgery. Suspected scrotal tuberculosis or malignant scrotal tumor patients were excluded.
Results: Six patients with scrotal wall masses were diagnosed and treated with the scrotoscope. A preoperative ultrasound examination led to an ambiguous or incorrect diagnosis for the origin of the scrotal wall masses in all six cases. The location of all of the masses was conﬁrmed by exploring with the scrotoscope. Three patients were diagnosed with scrotal wall cysts, and one was successfully resected during the procedure; the other two were resected through a small incision. Four scrotal wall solid masses were resected in the other three patients through small incisions after the diagnosis using the scrotoscope. No wound infection, scrotal edema, hematoma, chronic scrotal pain, or injury to the testicles or epididymis were observed.
Conclusions: Scrotal wall masses are relatively rare, and it was very diﬃcult to obtain a ﬁrm diagnosis of their origin using preoperative ultrasound. The scrotoscope conﬁrmed localization of the tumor, and provided us important information for a minimally invasive resection. Endoscopic resection of a mass can be performed using a scrotoscope.
Scrotoscope; Scrotal wall mass; Minimal incision; Testicle; Perididymis
Ruochen Zhang,Yunliang Gao,Tao Li,Qingguo Zhu,Liefu Ye,Yongbao Wei,Jinrui Yang. Diagnosis and management of a scrotal wall mass with the aid of a Scrotoscope: a descriptive observational study. Journal of Men's Health. 2021.doi:10.31083/jomh.2021.046.
 Conzi R, Damasio MB, Bertolotto M, Secil M, Ramanathan S, Rocher L, et al. Sonography of scrotal wall lesions and correlation with other modalities. Journal of Ultrasound in Medicine. 2017; 36: 2149–2163.
 Yang J, Wei Y, Yan B, Yin Z, Gao Y, Wang Z, et al. Comparison between open epididymal cystectomy and minimal resection of epididymal cysts using a scrotoscope: a clinical trial for the evaluation of a new surgical technique. Urology. 2015; 85: 1510–1514.
 Yang J. Scrotoscopic Surgery. Lodon, United Kingdom: Academic Press. 2018.
 Ye H, Liu Z, Wang H, Chang Y, Gao X, Xu C, et al. A minimally invasive method in diagnosing testicular torsion: the initial experience of scrotoscope. Journal of Endourology. 2016; 30: 704–708.
 Lei J, Luo C, Zhang Y, Guo Y, Su X, Wang X. A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele. Scientific Reports. 2019; 9: 1–7.
 Bin Y, Yong-bao W, Zhuo Y, Jin-rui Y. Minimal hydrocelectomy with the aid of scrotoscope: a ten-year experience. International Brazilian Journal of Urology. 2014; 40: 384–389.
 Shafik A. The scrotoscope. A new instrument for examining the scrotal contents. British Journal of Urology. 1990; 65: 209–210.
 Wei Y, Yang J, Hong H, Gao Y, Wu J, Wu X, et al. Scrotoscopy exploration of testicular rupture: a pilot study. Medicine. 2019; 98: e17389.
 Fakhralddin SS, Bapir R, Babarasul MH, Ibrahim ZB, Aghaways I. Typical leiomyoma of the scrotum: a rare case report. International Journal of Surgery Case Reports. 2020; 67: 142–145.
 Parenti GC, Feletti F, Carnevale A, Uccelli L, Giganti M. Imaging of the scrotum: beyond sonography. Insights into Imaging. 2018; 9: 137–148.
 Wang Z, Yang J, Huang Y, Wang L, Liu L, Wei Y, et al. Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review. International Urology and Nephrology. 2016; 48: 1967–1976.
 Shafik A. The scrotoscope. A new instrument. Egyptian Journal of Hospital Medicine. 1986; 3: 53–54.
 Lin L, Hong H, Gao Y, Yang J, Li T, Zhu Q, et al. Individualized minimally invasive treatment for adult testicular hydrocele: a pilot study. World Journal of Clinical Cases. 2019; 7: 727–733.
 Hong H, Cai W, Wu J, Wu X, Lin L, Li T, et al. Scrotoscopy and traditional open surgery shows a high degree of consistency in the diagnosis of testicular torsion: a initial report. Medicine. 2020; 99: e21545.
Science Citation Index Expanded Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,200 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.
Social Sciences Citation Index Social Sciences Citation Index contains over 3,400 journals across 58 social sciences disciplines, as well as selected items from 3,500 of the world’s leading scientific and technical journals. More than 9.37 million records and 122 million cited references date back from 1900 to present.
Current Contents - Social & Behavioral Sciences Current Contents - Social & Behavioral Sciences provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in the social and behavioral sciences.
Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.
SCOPUS Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.
DOAJ DOAJ is a community-curated online directory that indexes and provides access to high quality, open access, peer-reviewed journals.
CrossRef Crossref makes research outputs easy to find, cite, link, assess, and reuse. Crossref committed to open scholarly infrastructure and collaboration, this is now announcing a very deliberate path.
Portico Portico is a community-supported preservation archive that safeguards access to e-journals, e-books, and digital collections. Our unique, trusted process ensures that the content we preserve will remain accessible and usable for researchers, scholars, and students in the future.