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Diagnosis and management of a scrotal wall mass with the aid of a Scrotoscope: a descriptive observational study

  • Ruochen Zhang1,2
  • Yunliang Gao3
  • Tao Li1,2
  • Qingguo Zhu1,2
  • Liefu Ye1,2
  • Yongbao Wei1,2
  • Jinrui Yang3

1Shengli Clinical Medical College of Fujian Medical University, 350001 Fuzhou, Fujian Province, China

2Department of Urology, Fujian Provincial Hospital, 350001 Fuzhou, Fujian Province, China

3Department of Urology, the Second Xiangya Hospital, Central South University, 410012 Changsha, Hunan Province, China

DOI: 10.31083/jomh.2021.046 Vol.18,Issue 1,January 2022 pp.1-6

Submitted: 27 February 2021 Accepted: 24 March 2021

Published: 31 January 2022

*Corresponding Author(s): Yongbao Wei E-mail:


Background and objective: A scrotal wall mass is relatively rare in clinical practice, and very difficult to differentiate from a scrotal content lesion by a physical or ultrasound examination. In this study, we share our experience with the scrotoscope for diagnosing and treating scrotal wall masses.

Methods: We retrospectively reviewed all clinical data of scrotal wall mass patients treated by our medical team between June 2015 and July 2019. Diagnostic value was evaluated by comparison with a Doppler ultrasound examination and therapeutic value was evaluated by comparison with traditional surgery. Suspected scrotal tuberculosis or malignant scrotal tumor patients were excluded.

Results: Six patients with scrotal wall masses were diagnosed and treated with the scrotoscope. A preoperative ultrasound examination led to an ambiguous or incorrect diagnosis for the origin of the scrotal wall masses in all six cases. The location of all of the masses was confirmed by exploring with the scrotoscope. Three patients were diagnosed with scrotal wall cysts, and one was successfully resected during the procedure; the other two were resected through a small incision. Four scrotal wall solid masses were resected in the other three patients through small incisions after the diagnosis using the scrotoscope. No wound infection, scrotal edema, hematoma, chronic scrotal pain, or injury to the testicles or epididymis were observed.

Conclusions: Scrotal wall masses are relatively rare, and it was very difficult to obtain a firm diagnosis of their origin using preoperative ultrasound. The scrotoscope confirmed localization of the tumor, and provided us important information for a minimally invasive resection. Endoscopic resection of a mass can be performed using a scrotoscope.


Scrotoscope; Scrotal wall mass; Minimal incision; Testicle; Perididymis

Cite and Share

Ruochen Zhang,Yunliang Gao,Tao Li,Qingguo Zhu,Liefu Ye,Yongbao Wei,Jinrui Yang. Diagnosis and management of a scrotal wall mass with the aid of a Scrotoscope: a descriptive observational study. Journal of Men's Health. 2022. 18(1);1-6.


[1] Conzi R, Damasio MB, Bertolotto M, Secil M, Ramanathan S, Rocher L, et al. Sonography of scrotal wall lesions and correlation with other modalities. Journal of Ultrasound in Medicine. 2017; 36: 2149–2163.

[2] Yang J, Wei Y, Yan B, Yin Z, Gao Y, Wang Z, et al. Comparison between open epididymal cystectomy and minimal resection of epididymal cysts using a scrotoscope: a clinical trial for the evaluation of a new surgical technique. Urology. 2015; 85: 1510–1514.

[3] Yang J. Scrotoscopic Surgery. Lodon, United Kingdom: Academic Press. 2018.

[4] Ye H, Liu Z, Wang H, Chang Y, Gao X, Xu C, et al. A minimally invasive method in diagnosing testicular torsion: the initial experience of scrotoscope. Journal of Endourology. 2016; 30: 704–708.

[5] Lei J, Luo C, Zhang Y, Guo Y, Su X, Wang X. A comparison of a novel endoscopic “Su-Wang technique” with the open “Jaboulay’s procedure” for the surgical treatment of adult primary vaginal hydrocele. Scientific Reports. 2019; 9: 1–7.

[6] Bin Y, Yong-bao W, Zhuo Y, Jin-rui Y. Minimal hydrocelectomy with the aid of scrotoscope: a ten-year experience. International Brazilian Journal of Urology. 2014; 40: 384–389.

[7] Shafik A. The scrotoscope. A new instrument for examining the scrotal contents. British Journal of Urology. 1990; 65: 209–210.

[8] Wei Y, Yang J, Hong H, Gao Y, Wu J, Wu X, et al. Scrotoscopy exploration of testicular rupture: a pilot study. Medicine. 2019; 98: e17389.

[9] Fakhralddin SS, Bapir R, Babarasul MH, Ibrahim ZB, Aghaways I. Typical leiomyoma of the scrotum: a rare case report. International Journal of Surgery Case Reports. 2020; 67: 142–145.

[10] Parenti GC, Feletti F, Carnevale A, Uccelli L, Giganti M. Imaging of the scrotum: beyond sonography. Insights into Imaging. 2018; 9: 137–148.

[11] Wang Z, Yang J, Huang Y, Wang L, Liu L, Wei Y, et al. Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review. International Urology and Nephrology. 2016; 48: 1967–1976.

[12] Shafik A. The scrotoscope. A new instrument. Egyptian Journal of Hospital Medicine. 1986; 3: 53–54.

[13] Lin L, Hong H, Gao Y, Yang J, Li T, Zhu Q, et al. Individualized minimally invasive treatment for adult testicular hydrocele: a pilot study. World Journal of Clinical Cases. 2019; 7: 727–733.

[14] Hong H, Cai W, Wu J, Wu X, Lin L, Li T, et al. Scrotoscopy and traditional open surgery shows a high degree of consistency in the diagnosis of testicular torsion: a initial report. Medicine. 2020; 99: e21545.

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