Scrotal Calculi

Abstract

The prevalence of scrotal calculi was 2.65%, and a minority of patients had other abnormalities, reflecting the generally benign etiology of these "pearls." To date, no information is available in the literature about the results of chronic irritation due to scrotal calculi. Further studies in larger series need to be performed to elucidate the formation mechanism and natural course of scrotal calculi.

A Case of Hydrocele Stone with Its Composition Analysis

“…Etiology for hydrocele stones is basically unknown. Preceding infection, hematoma, trauma, or torsion of appendix testis or appendix epididymis are suspected [11], but past history of that kind was not indicated in the present case.…”

“…Reported rates of calcification detected by ultrasound examination in hydrocele space were not very low (3 out of 863 patients [11] and 15 out of 350 patients [12]), we seldom encounter stones in the place during intrascrotal surgery, especially ones bigger in size. A calculus of 1.7 cm diameter attached to the parietal portion of the tunica vaginalis [9] and a calculus of 1.5 cm diameter attached to the head of the epididymidis [10] found in hydroceles were previously reported.…”

Sonography of the Scrotum

“…The term intrascrotal calculi refers to rarely found round or oval loose bodies situated between parietal and visceral lamina of the tunica vaginalis, which are considered benign and without clinical importance 11 , 12 . The reported frequency of these calculi on sonography is approximately 2% 12 , 13 . The frequency is much higher (41%) in patients with coexisting hydrocele 11 .…”

“…Scrotoliths can be solitary or multiple and can coexist with appendages in the same hemiscrotum (Figures 16 and 18). They usually coexist with hydrocele and may be detected with palpation even by the patient himself, but are more frequently incidentally found on scrotal sonography or surgery 12 , 14 …”

Sonographic Spectrum of Tunica Albuginea Cyst

“…[14] They are usually seen as a sequela to hematoma or inflammatory changes within the scrotum, or loose bodies from a twisted epididymal or testicular appendix. [16]…”