Benign scrotal masses in children - some new lessons learned

Area of Science:

• Pediatric Urology
• Surgical Oncology
• Endocrinology

Background:

• Benign intratesticular masses are common in pre-pubertal males, often favoring testicular-sparing surgery (TSS).
• Understanding outcomes of these procedures is crucial for pediatric surgical management.

Purpose of the Study:

• To review the outcomes of benign testicular lumps in children treated at a tertiary pediatric center over 7.5 years.
• To evaluate the efficacy and complications of testicular-sparing surgery (TSS) in pediatric patients.

Main Methods:

• A retrospective review of pediatric benign testicular lesions was conducted from January 2008 to June 2015.
• Data analysis focused on patient demographics, lesion types, surgical interventions, and outcomes.

Main Results:

• Twelve benign intratesticular tumors were identified, primarily in pre-pubertal males (11 cases).
• Common diagnoses included teratomas, epidermoid cysts, and Leydig cell hyperplasia.
• Testicular-sparing surgery (TSS) was attempted in 11 pre-pubertal cases, with successful outcomes in seven; notable findings included testicular reconstitution after large cyst removal and one case of epidermoid cyst recurrence.

Conclusions:

• This series highlights Leydig cell hyperplasia presenting with unilateral precocious puberty, a novel finding.
• Evidence suggests testicular regeneration is possible after TSS for large intrasesticular cysts.
• Recurrence of epidermoid cysts following TSS was observed, indicating the need for vigilant follow-up.