Purpose: Scrotal calculi are rare, and their clinical significance is uncertain. Scrotal pain is a frequent, hard-to-manage problem in urology clinics. Our purpose in this study was to determine the relationship between the presence of scrotal calculi and scrotal pain in a prospective manner.
Methods: Sonography and color Doppler ultrasound of the scrotum were performed in 758 consecutive patients referred with scrotal pain. The pain was rated by using an 11-point numeric rating scale; scores were compared among patients with scrotal calculi with and without additional scrotal pathology.
Results: Scrotal calculi were detected in 73 of the 758 patients (9.6%). Scrotal pain (n = 50 [61%]) and a palpable mass in the scrotum (n = 25 [30.5%]) were the most common complaints in patients with scrotal calculi. Hydrocele (n = 17 [29.8%]) and varicocele (n = 15 [26.3%]) were the most commonly associated abnormalities; there was a statistically significant association between the presence of scrotal calculi and hydrocele (p < 0.01). Scrotal pain was present in 61 (83.5%) patients with scrotal calculi, and this association was significant (p < 0.001). The presence of scrotal pain and the correlation between location of calculi and pain in patients without additional scrotal abnormalities were also significant (p = 0.04 and p < 0.004, respectively).
Conclusions: The prevalence of scrotal calculi was 9.6%, and hydrocele was found to be associated with scrotal calculi. We also found a significant relationship between the presence of calculi and scrotal pain. Because the etiology of scrotal pain is essential for appropriate treatment, scrotal calculi should be kept in mind when making a differential diagnosis of scrotal pain. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:406-411, 2015.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1002/jcu.22247 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A giant urethral stone with urethrocutaneous fistula: A case report.
Urol Case Rep
November 2024
Department of Urology, Padjadjaran University/Hasan Sadikin General Hospital, Bandung, Indonesia.
Calculi in the urethra are uncommon, and urethral calculi causing urethrocutaneous fistula are extremely rare. A 56 years-old man with history of urine passage from his scrotal area for a month. During physical examination, we found a multiple fistula in scrotal area and revealed by the ultrasound.
View Article and Find Full Text PDFCanadian Association of Radiologists Genitourinary Imaging Referral Guideline.
Can Assoc Radiol J
February 2025
University of Alberta, Edmonton, AB, Canada.
Article Synopsis
- * They identified 22 clinical/diagnostic situations and conducted a rapid scoping review to evaluate existing referral guidelines, resulting in the analysis of 30 different guidelines and the development of 65 recommendation statements.
- * The guidelines cover a range of conditions, such as haematuria, hypertension, renal diseases, urinary tract infections, and scrotal masses, providing clear referral recommendations for healthcare providers.
Giant Colpolithiasis in Urogenital Sinus Anomaly with Urethral Duplication: A Case Report and Review of Literature.
Afr J Paediatr Surg
January 2024
Department of Obstetrics and Gynecology, AIIMS, Patna, Bihar, India.
Article Synopsis
- - Primary vaginal stones are rare in children, but this case involves a 16-year-old girl with a complex congenital condition including a persistent urogenital sinus and a significant calculus (stone) in her left hemivagina.
- - The girl's symptoms included abdominal pain and the passage of blood clots, attributed to an obstructed hemivagina and an enlarged left uterine horn filled with menstrual blood.
- - This case highlights the need for early diagnosis and proper referral for congenital anomalies in healthcare systems, especially in developing countries where access to specialized care may be limited.
Increased serum creatinine associated with testicular microlithiasis in adult Japanese men: A retrospective cohort study.
Andrology
July 2024
Department of Urology, Tokyo Dental College Ichikawa General Hospital, Ichikawa, Japan.
Background: Testicular microlithiasis (TM) is thought to be associated with testicular tumors and impaired spermatogenesis; however, its etiology remains unclear.
Objectives: To identify factors, other than testicular function, that are associated with testicular microlithiasis.
Materials And Methods: We enrolled males who underwent ultrasound examination of the scrotum at Tokyo Dental College Ichikawa General Hospital.
A New Concept for Surgery in European Hospitals? Records of Practice in Germany, Italy, and Spain During the Sixteenth and Early Seventeenth Centuries.
NTM
March 2023
Frühe Neuzeit, Historisches Seminar der Ludwig-Maximilians-Universität München, München, Bayern, Germany.
The recent discovery of a manuscript has allowed historians to understand the medical routine in a hospital known as the Schneidhaus in Augsburg between the sixteenth and nineteenth century. The context of the manuscript shows that at this institution, non-academic specialists, generally members of the guild of barber-surgeons and barbers, routinely performed surgical cures of intestinal hernia, scrotal swellings, and vesical calculus. The Schneidhaus exclusively admitted patients applying for such specialised treatments and offered no other services.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!