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Search Results (6)

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Keywords = scrotal excision

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15 pages, 10399 KB  
Systematic Review
Two-Stage Penile Reconstruction after Paraffin Injection: A Case Report and a Systematic Review of the Literature
by Luigi Napolitano, Claudio Marino, Angelo Di Giovanni, Assunta Zimarra, Alessandro Giordano, Carlo D’Alterio, Gianluigi Califano, Massimiliano Creta, Giuseppe Celentano, Roberto La Rocca, Claudia Mirone, Gianluca Spena, Alessandro Palmieri, Nicola Longo, Ciro Imbimbo and Marco Capece
J. Clin. Med. 2023, 12(7), 2604; https://doi.org/10.3390/jcm12072604 - 30 Mar 2023
Cited by 7 | Viewed by 6544
Abstract
Background: Penile injection of foreign materials is an obsolete practice often performed by non-medical personnel in order to enlarge penile size. Methods: A systematic review of the literature from 1956 to 2022 was conducted in accordance with the general guidelines recommended by the [...] Read more.
Background: Penile injection of foreign materials is an obsolete practice often performed by non-medical personnel in order to enlarge penile size. Methods: A systematic review of the literature from 1956 to 2022 was conducted in accordance with the general guidelines recommended by the Primary Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. We included full papers published from 1956 to 2022. We also described a case report of a 23 year old Bulgarian male affected by penile paraffinoma who underwent a 2-stages surgical technique. Results: A total of 152 cases have been reported, with a median age of 37.9 ranging from 18 to 64 years. Six different techniques have been described in the whole literature: bilateral scrotal flap, simple excision of the paraffinoma with primary closure, two-stage scrotum skin flap, medial prepuce-soprapubic advancement flap technique and penile reconstruction using split thickness skin graft (STSG) or full thickness skin graft (FTSG). An analysis of the distribution among early and late complications was then carried out. Conclusion: In our experience, among the variety of surgical techniques described, a two-stage penile reconstruction using scrotal skin results in excellent cosmetic and functional outcomes, with a low rate of complications. Full article
(This article belongs to the Special Issue Clinical and Surgical Andrology: Current Challenges and Advances)
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8 pages, 4923 KB  
Case Report
Recurrence or de novo? Intradermal Basal Cell Carcinoma of the Scrotum: A Report of Two Cases
by Kaori Yamazaki, Maho Maejima, Hidehisa Saeki and Shin-Ichi Osada
Dermatopathology 2023, 10(2), 128-135; https://doi.org/10.3390/dermatopathology10020019 - 28 Mar 2023
Cited by 1 | Viewed by 12324
Abstract
Basal cell carcinoma (BCC) is the most common cutaneous malignancy, usually occurring in sun-exposed areas. Although BCC in the scrotal region is uncommon, it carries a higher risk of metastasis than BCC at other sites. Here, we report two cases of BCC that [...] Read more.
Basal cell carcinoma (BCC) is the most common cutaneous malignancy, usually occurring in sun-exposed areas. Although BCC in the scrotal region is uncommon, it carries a higher risk of metastasis than BCC at other sites. Here, we report two cases of BCC that developed in the scrotal region: Case 1 presented as a superficial nodule and Case 2 as a subcutaneous nodule. Histopathologically, both tumors lacked continuity with the surface epidermis and formed an intradermal nodule. In Case 1, BCC occurred for the first time and presumably developed de novo. Case 2 underwent excision of a scrotal BCC 5 years previously, and the histopathological diagnosis at that time was nodular BCC. However, when the original specimen was re-examined, it was determined that, although the tumor had been completely resected, part of the lesion had moved away from the nodular area to represent a micronodular phenotype, an aggressive BCC subtype. We hypothesized that partial evolution from a nodular to a micronodular phenotype may have contributed to the recurrence of BCC in Case 2. Full article
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7 pages, 4835 KB  
Case Report
The Scrotal Excision of Paratesticular Mesothelioma of the Tunica Vaginalis: A Case Report
by Mohammad Hifzi Mohd Hashim, Xeng Inn Fam, Hau Chun Khoo, Wan Syahira Ellani Wan Ahmad Kammal and Haziq Kamal
Uro 2022, 2(4), 277-283; https://doi.org/10.3390/uro2040031 - 9 Dec 2022
Cited by 1 | Viewed by 3465
Abstract
Mesotheliomas are malignancies which involve mesothelial cells, and are commonly found in the pleura, peritoneum, pericardium, and (rarely) the testis. We present a case of paratesticular mesothelioma that was excised without the testis. An elderly gentleman presented with a painless right scrotal mass, [...] Read more.
Mesotheliomas are malignancies which involve mesothelial cells, and are commonly found in the pleura, peritoneum, pericardium, and (rarely) the testis. We present a case of paratesticular mesothelioma that was excised without the testis. An elderly gentleman presented with a painless right scrotal mass, which appeared clinically benign and separable from the underlying testis. An ultrasound showed an extratesticular lesion adhered to the scrotal wall with a complex hydrocele. An excisional biopsy was conducted, and the Jaboulay procedure was performed on the right testis. Pathological examination revealed mesothelioma, showing focal invasion into the underlying stroma. A post-operative computed tomography (CT) scan evaluation manifested no local or distant metastasis. No further surgery was performed, and no chemotherapy or radiotherapy was offered to the patient. Subsequent clinical examinations and radiological scans carried out during each clinic follow-up for two years showed no new lesion or recurrence. Full article
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7 pages, 1892 KB  
Case Report
Testis-Sparing Surgery for Non-Palpable Leydig Cell Tumors in Prepubertal Children
by Vassilis Lambropoulos, Antonios Theodorakopoulos, Vasileios Mouravas, Elissavet Pazarli, Dimitrios Godosis, Chrysostomos Kepertis, Kleanthis Anastasiadis and Ioannis Spyridakis
Pediatr. Rep. 2020, 12(3), 86-92; https://doi.org/10.3390/pediatric12030020 - 26 Oct 2020
Cited by 1 | Viewed by 3687
Abstract
Leydig cell tumor (LCT) is an infrequent stromal neoplasm of the testis with an incidence of less than 3% of all gonadal tumors in the general male population. Only 25% is found in prepubertal children, where Leydig cell tumors are always reported benign. [...] Read more.
Leydig cell tumor (LCT) is an infrequent stromal neoplasm of the testis with an incidence of less than 3% of all gonadal tumors in the general male population. Only 25% is found in prepubertal children, where Leydig cell tumors are always reported benign. The hospital records of two prepubertal male children, who underwent organ sparing surgery for testicular LCT the last five years, were retrospectively reviewed. In both of them, the lesion was incidentally found during a scrotal ultrasonography for testicular pain. The diagnosis of a benign LCT was based on the pre-operative physical examination and imaging (Ultrasound-US, Magnetic Resonance Imaging-MRI) as well as the negative tumor markers. A testicle-sparing procedure was decided and the pathologic examination of the surgical specimen confirmed the diagnosis. No tumor recurrence was noted on follow-up. Testis-sparing surgery provides the possibility of complete excision of such lesions and should be considered as the treatment of choice. Full article
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2 pages, 465 KB  
Case Report
Median Raphe Cyst: A Clinically Challenging Diagnosis
by Chadi Hajar, Ibrahim R. Hajjali, Laura Oscar and Daniel C. Mayes
Clin. Pract. 2019, 9(3), 1176; https://doi.org/10.4081/cp.2019.1176 - 27 Sep 2019
Cited by 3 | Viewed by 1717
Abstract
Median raphe cyst is an uncommon developmental anomaly that can develop anywhere along the midline of the external genitals. Only a few hundred cases have been published in the English literature and the lack of awareness of this entity can lead to confusion [...] Read more.
Median raphe cyst is an uncommon developmental anomaly that can develop anywhere along the midline of the external genitals. Only a few hundred cases have been published in the English literature and the lack of awareness of this entity can lead to confusion and misdiagnosis. We report here a case of median raphe cyst located in the midline of the anterior scrotum of a 35-year-old man. Clinically, the patient presented with a scrotal mass increasing substantially in size over two days associated with tenderness, skin erythema, and scrotal pain. Radiologic interpretation of a sonogram and computed tomography scan suggested a thrombosed vessel. The patient was diagnosed with septic thrombophlebitis associated with overlying cellulitis. Despite conservative therapy with antibiotics, the patient developed pyrexia, tachycardia, and leukocytosis prompting surgical excision of the lesion. Histopathologic examination revealed an infected median raphe cyst. The cyst wall was lined by a stratified epithelium that included numerous Alcian blue positive goblet cells. The epithelial cells showed reactive changes with infiltration by numerous neutrophils. Our objective is to bring attention to and thereby facilitate the diagnosis of this unusual entity. Full article
2 pages, 151 KB  
Case Report
Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia
by Ajay H. Bhandarwar, Saurabh S. Gandhi, Chintan B. Patel, Amol N. Wagh, Virendra Gawli and Nimesh A. Jain
Clin. Pract. 2016, 6(2), 786; https://doi.org/10.4081/cp.2016.786 - 23 Jun 2016
Cited by 4 | Viewed by 1216
Abstract
Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes [...] Read more.
Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with watchful regular follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect left inguinal hernia. The left side testis was of smaller size (about half) with normal sperm count, morphology and motility. Intraoperatively indirect inguinal hernia was noted with supernumerary testis at deep ring in addition to normal left testis in left scrotal sac. The ectopic testis were small (2.5×2.5×1 cm) lacking epididymis and with short vas deferens. An evident normal semen analysis and varied anatomy, the decision for orchidectomy of ectopic testis was taken. The histopathological finding was consistent with arrest in germ cell development. Full article
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