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Pinch-and-Punch Excision: A Minimally Invasive Technique for Idiopathic Scrotal Calcinosis-A Case Report
1Department of Surgery, School of Medicine, University of Phayao, Phayao, Thailand, up.ac.th.
Case Reports in Urology
|May 1, 2026
Summary
Idiopathic scrotal calcinosis (ISC) is a rare condition of calcified scrotal nodules. A minimally invasive "pinch-and-punch" excision technique offers a safe and cosmetically favorable treatment option with high patient satisfaction.
Area of Science:
- Dermatology
- Urology
- Surgical Innovation
Background:
- Idiopathic scrotal calcinosis (ISC) presents as benign, calcified scrotal nodules.
- While often asymptomatic, nodules can grow, causing cosmetic concerns and prompting surgical intervention.
Purpose of the Study:
- To evaluate the efficacy and cosmetic outcome of the "pinch-and-punch" excision technique for treating idiopathic scrotal calcinosis.
Main Methods:
- A novel "pinch-and-punch" excision technique was employed under regional anesthesia with tumescent local infiltration.
- Nodules were removed using small biopsy punches without sutures, allowing for healing by secondary intention.
Main Results:
- The procedure resulted in minimal bleeding and no complications.
- Complete wound epithelialization occurred within one week.
- At three months, there was no recurrence, and the patient reported high aesthetic satisfaction.
Conclusions:
- The "pinch-and-punch" excision is a safe, effective, and cosmetically superior method for managing multiple scrotal calcinosis nodules.
- Histopathological confirmation is crucial for diagnosis.
- Further research with longer follow-up is recommended.

