Rare para testicular lipoma: The largest one reported till date.

Lipomas within the scrotum are extremely rare and most of which develop from contents of the scrotum rather than the walls themselves. Intrascrotal lipoma can be classified as paratesticular and extratesticular lipoma. Here we describe a patient with a huge scrotal mass which, to our knowledge, is one of the largest paratesticular lipoma ever reported in the literature.

A Testicular Cancer that was Thought to be an Inguino Scrotal Hernia

We present a case of a young man with a 5-year history of testicular swelling which was initially thought to be inguinoscrotal hernia. Intra-operatively it was found to be a testicular tumour and histopathological examination confirmed a mixed germ cell tumour. He had an orchidectomy and later underwent chemotherapy. It is interesting to note that the patient had kept the tumour for 5 years with no evidence of distant metastasis at diagnosis. This is probably the longest presentation of a testicular tumour.

Fournier’s Gangrene in a Neonate: A Case Report.

A 15 days newborn presented to paediatric OPD for evaluation of abdominal distension, not accepting feed properly and scrotal swelling. On examination gangrene was found on the scrotum, blood culture showed growth of streptococcal organism. Patient was treated with 3rd generation cephalosporin and local debridement of gangrenous scrotal tissue. Wound got healed by secondary intention and patient was discharged alive and healthy. The outcome of treatment of Fournier’s gangrene in neonate is good.

A 10-Year Retrospective Study of the Operative Treatment Results of Adult Type Hydrocele / 대한비뇨기과학회지

PURPOSE: Although hydrocelectomy is commonly performed in general urological practice, the incidence of complications and the outcomes of this procedure seem to be underreported in the literature. We evaluated the incidence of complications and the outcomes of patients who underwent hydrocelectomy. MATERIALS AND METHODS: Between January 1996 and December 2005, 289 patients with hydrocele were retrospectively assigned into three groups according to the degree of dissection or the amount of the excision of the hydrocele sac. Group 1 included 78 patients who were treated by dissection and excision of the entire hydrocele sac. Group 2 consisted of 149 patients who were treated by dissection and eversion of the hydrocele sac. The 62 patients in group 3 underwent operations in which there was little or no dissection of the hydrocele. We analyzed the complications, the effects of surgical treatment and the results according to the surgical techniques. RESULTS: The duration of recovery showed no differences among the three groups. The overall complication rate was 36.3%. Transient scrotal swelling occurred in 28.0% of the patients, hematoma in 2.7%, wound infection in 1.7%, and injury to the epididymis or testis, chronic pain and persistent swelling occurred in 1.3%. The overall incidence of postoperative complications was significantly lower among the patients in group 3. The rate of scrotal swelling was significantly correlated to the volume of the hydroceles and the amount of the excision of the hydrocele sac. CONCLUSIONS: The long term results of hydrocelectomy were good. The most common complications following scrotal surgery for hydroceles were scrotal swelling, hematoma, wound infection and injury to the epididymis and testis. Most of the complications were treated by conservative management.

A Case of Scrotal Swelling Induced by Tunica Vaginalis Abscess

Scrotal swelling may be acute or chronic, painful or painless. Common causes of scrotal swelling in newborns are hydrocele, inguinal hernia, testicular torsion, testicular tumor, scrotal hematoma, meconium peritonitis and epididymitis. Abrupt onset of a painful scrotal swelling necessitates prompt evaluation. Testicular torsion and incarcerated inguinal hernia require urgent surgical management. We report a case of scrotal swelling caused by a tunica vaginalis abscess in a 20-days-old boy. He was admitted to the hospital due to fever, irritability and left scrotal swelling with local heat, tenderness and redness. Exploratory laparotomy was performed to rule out testicular torsion. On the operative field, congestive erythematous inflammation on the left tunica vaginalis was noted and it was filled with a pus like discharge. The cultured organism was Streptococcus agalactiae(group B). He recovered quickly after debridement and administration of empirical antibiotics.

The management of hydroceles in infants and children

The common beliefs about hydroceles in the pediatric age group are mentioned. The pathogenesis of the condition is presented and the history of its appearance after birth has been found to be important. It is incorrect to apply principles of management of hydroceles in adults to this age group. Aspiration is condemned and the rationale for operative management is given. A brief description of herniotomy in the young patient is made. (Summary)