Diagnosis and Management of Scrotal Wall Mass with the Aid of Scrotoscope: Case Series Report

Abstract Background Scrotal wall mass is relatively rare in clinical practice, and very difficult to be differentiated from scrotal content lesions by physical or ultrasound examination. Herein, we would like to share the experiences of scrotoscope in diagnosis and treatment of Scrotal wall masses. Methods Retrospectively reviewed all the clinical data of scrotal wall mass patients treated by our medical team between June 2015 and July 2019. The diagnostic value was evaluated by comparing with Doppler ultrasound examination and the therapeutic value was evaluated by comparing with traditional surgery. Suspected scrotal tuberculosis or malignant scrotal tumor patients were excluded. Results Totally, 6 patients with scrotal wall masses were diagnosed and treated with scrotoscope. Preoperative ultrasound examination leaded to ambiguous or incorrect diagnosis of the origination of scrotal wall masses in all the 6 cases. The location of all the masses was clearly confirmed by scrotoscope exploration. Three patients were diagnosed as scrotal wall cysts, and 1 of them was successfully resected during the procedure, the other 2 were resected through small incision. In the other 3 patients, a total of 4 scrotal wall solid masses were resected through small incision after diagnosis by scrotoscope. There was no wound infection, scrotal edema, hematoma, chronic scrotal pain or injury of testicular or epididymis. Conclusions Scrotal wall masses are relatively rare, and it is very difficult for preoperative ultrasound examination to make a firm diagnosis of its origination. Scrotoscope can confirm the localization of the tumor, and provides us important information for minimally invasive resection. And even in some cases, endoscopic resection of the masses can be performed under scrotoscope.