The clinical management of intrascrotal extratesticular masses with evaluation of histopathologic findings.

To contribute to the literature by sharing the clinical presentation, surgical approach, postoperative complications management and follow-up protocols of the patients we operated on due to intrascrotal extratesticular mass. Thirty-two patients admitted due to intrascrotal extratesticular mass were included in the study. Demographic and clinical characteristics of the patients such as age, initial clinical presentation, physical examination, radiological imaging findings such as scrotal Doppler ultrasonography and magnetic resonance imaging, mass size and characteristics, surgical treatment procedures, operation notes, and patient follow-up visits were retrospectively examined and evaluated from the patient files. The median age of the 21 32 individuals included in the study was 52(interquartile range (IQR):[45.0-60.5]) years. The primary reason for initial presentation was a palpable mass in 25 (78.1%) patients, pain in 13 (40.6%) patients, and scrotal swelling in 8(25%) patients. The median mass diameter was 4.4 (IQR:[3.1-5.7]) cm. Surgical treatment involved inguinal excision in 29 cases (90.6%) and inguinoscrotal excision in 3 cases(9.4%). All patients were treated with testicle sparing surgery. The most common tumor location, observed in 27 cases (84.3%), was the epididymis. The most frequent histopathological diagnosis was epididymal cyst, identified in 13 patients(40.6%). Pathology results showed that the mass was removed with negative margins in all patients. Testicular-sparing surgery through the inguinal approach is one of the surgical methods that can be preferred for intrascrotal extratesticular masses. This approach can both preserve the testicle and achieve successful surgical results. Studies with larger samples are needed on this subject. This study was approved by the Erzurum Medicine Faculty University Local Ethics Committee (approval number: BAEK 2023/08-105).

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Déclaration de conflit d'intérêts

Declaration of Competing Interest 1)___Dr. Tugay Aksakalli no conflict__________________________________________________ 2)___Dr. Ahmet Emre Cinislioglu no conflict__________________________________________ 3)___Dr. Saban Oguz Demirdogen no conflict_________________________________________ 4)___Dr. Adem Utlu no conflict______________________________________________________ 5)___Dr. Feyzullah Celik no conflict__________________________________________________ 6)___Dr. Ibrahim Karabulut no conflict_______________________________________________ 7)___Dr. Muhammed Cagrı Akkus no conflict_________________________________________ 8)___Dr. Emre Sulukoglu no conflict_________________________________________________ 9)___Dr. Damla Oflas no conflict____________________________________________________ 10)__Dr. Ebru Sener no conflict_____________________________________________________ 11)__Dr. Isa Ozbey no conflict______________________________________________________