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Scrotal explorations negative for malignancy

L F Altaffer, S M Steele

    The Journal of Urology
    |November 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Scrotal explorations to rule out cancer frequently lead to orchiectomy for benign conditions like epididymitis or testicular torsion. Many patients undergo additional procedures during these explorations.

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    Area of Science:

    • Urology
    • Surgical Pathology

    Background:

    • Scrotal masses necessitate diagnostic exploration to exclude malignancy.
    • Inguinal exploration is a common surgical approach for scrotal pathology.

    Purpose of the Study:

    • To analyze outcomes of scrotal explorations initially performed to rule out malignancy.
    • To determine the rate of orchiectomy and final diagnoses in these cases.

    Main Methods:

    • Retrospective review of 74 cases undergoing scrotal exploration via inguinal approach.
    • Analysis of surgical outcomes, including orchiectomy rates and other procedures.
    • Categorization of final pathological diagnoses.

    Main Results:

    • 74 scrotal explorations were negative for malignancy.

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  • 32% (24/74) resulted in radical orchiectomy, 19% (14/74) in simple orchiectomy.
  • Common final diagnoses included epididymitis (26%), testicular torsion (18%), and hydrocele (15%).

    • Conclusions:

    • Scrotal exploration for suspected malignancy has a high rate of orchiectomy for benign conditions.
    • A significant percentage of patients require additional surgical interventions beyond exploration.
    • Benign pathologies are the predominant findings in these explorations.