The Clinical Management of Intrascrotal Extratesticular Masses With Evaluation of Histopathologic Findings.

Autor: Aksakalli T; University of Health Sciences, Erzurum Regional Training and Research Hospital, Department of Urology, Erzurum, Turkey. Electronic address: tugay_daydreamer@hotmail.com., Cinislioglu AE; University of Health Sciences, Erzurum Regional Training and Research Hospital, Department of Urology, Erzurum, Turkey. Electronic address: emrecinisli@hotmail.com., Demirdogen SO; Ataturk University Medical Faculty, Department of Urology, Erzurum, Turkey. Electronic address: oguzdemirdogen@hotmail.com., Utlu A; University of Health Sciences, Erzurum Regional Training and Research Hospital, Department of Urology, Erzurum, Turkey. Electronic address: drademu@gmail.com., Celik F; University of Health Sciences, Erzurum Regional Training and Research Hospital, Department of Urology, Erzurum, Turkey. Electronic address: drfeyzcelik@gmail.com., Karabulut I; University of Health Sciences, Erzurum Regional Training and Research Hospital, Department of Urology, Erzurum, Turkey. Electronic address: karabulutibrahim36@gmail.com., Akkus MC; University of Health Sciences, Erzurum Regional Training and Research Hospital, Department of Urology, Erzurum, Turkey. Electronic address: akkuscagri1@gmail.com., Sulukoglu E; Ataturk University Medical Faculty, Department of Urology, Erzurum, Turkey. Electronic address: doc.emre9191@gmail.com., Oflas D; University of Health Sciences, Erzurum Regional Training and Research Hospital, Department of Pathology, Erzurum, Turkey. Electronic address: oflasdamla@gmail.com., Sener E; Ataturk University Medical Faculty, Department of Pathology, Erzurum, Turkey. Electronic address: ebruomerogullari@gmail.com., Ozbey I; Ataturk University Medical Faculty, Department of Urology, Erzurum, Turkey. Electronic address: isaozbey@yahoo.com.
Jazyk: angličtina
Zdroj: Urology [Urology] 2024 Aug; Vol. 190, pp. 36-43. Date of Electronic Publication: 2024 May 06.
DOI: 10.1016/j.urology.2024.04.036
Abstrakt: Objective: To contribute to the literature by sharing the clinical presentation, surgical approach, postoperative complications management, and follow-up protocols of the patients we operated on due to intrascrotal extratesticular mass.
Methods: Thirty-two patients admitted due to intrascrotal extratesticular mass were included in the study. Demographic and clinical characteristics of the patients such as age, initial clinical presentation, physical examination, radiological imaging findings, such as scrotal Doppler ultrasonography and magnetic resonance imaging, mass size, and characteristics, surgical treatment procedures, operation notes, and patient follow-up visits were retrospectively examined and evaluated from the patient files.
Results: The median age of the 32 individuals included in the study was 52 (interquartile range: [45.0-60.5]) years. The primary reason for initial presentation was a palpable mass in 25 (78.1%) patients, pain in 13 (40.6%) patients, and scrotal swelling in 8 (25%) patients. The median mass diameter was 4.4 (interquartile range: [3.1-5.7]) cm. Surgical treatment involved inguinal excision in 29 cases (90.6%) and inguinoscrotal excision in 3 cases (9.4%). All patients were treated with testicle-sparing surgery. The most common tumor location, observed in 27 cases (84.3%), was the epididymis. The most frequent histopathological diagnosis was epididymal cyst, identified in 13 patients (40.6%). Pathology results showed that the mass was removed with negative margins in all patients.
Conclusion: Testicular-sparing surgery through the inguinal approach is one of the surgical methods that can be preferred for intrascrotal extratesticular masses. This approach can both preserve the testicle and achieve successful surgical results. Studies with larger samples are needed on this subject.
Trial Registration: This study was approved by the Erzurum Medicine Faculty University Local Ethics Committee (approval number: BAEK 2023/08-105).
Competing Interests: Declaration of Competing Interest All authors declare no potential conflict of interest with this publication.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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