CO₂ Laser Treatment in Idiopathic Scrotal Calcinosis: A Case Series

Introduction: Idiopathic scrotal calcinosis (ISC) is a benign and uncommon condition characterized by the presence of multiple and calcified nodules of the scrotum without disorders in the calcium/ phosphorous metabolism. The condition is usually asymptomatic. Various treatments are available. Surgery is the traditional treatment for ISC, as it allows a histopathological exam. However, newer treatments, such as ablative lasers, have been proposed with very good results. Methods: In this article, we report our experience in the treatment of ISC with a CO₂ laser. Five patients affected by ISC were enrolled for CO₂ laser treatment. Results: All patients had excellent healing. Four patients reported minimal scarring. No bleeding was reported after the procedure. Two patients reported itching and were treated with oral antibiotics and antihistamine drugs. Conclusion: The CO₂ super pulsed laser is a fast and effective way to treat ISC and may be an alternative to traditional surgery in this condition.