scrotal wall, and if the testicle is attached well back in the scrotum its chances of staying down are that much the better. The correct fixation point is determined more easily from the outside using fine forceps rather than bimanually with a finger in the scrotum. The operator's index finger tends to flex upwards (anteriorly for the patient), with the inevitable result that the suture ends up...

We herein present an unusual case of 14-year-old boy with complete diphallus and bifid scrotum. He was not aware of his extragenital abnormality until he was examined by a surgeon before circumsion. During surgery, the hypoplastic penis was resected and a single scrotum was constructed by removing the band of skin separating the compartments. The rugose skin was then joined, giving scrotal cont...

BACKGROUND We present a case of a symplastic or "bizarre" leiomyoma of the scrotum. Isolated cases of leiomyomas have been reported arising from the renal pelvis, bladder, spermatic cord, epididymis, prostate as well as the glans penis. However such mesenchymal lesions of the scrotum are very rare. CASE PRESENTATION Macroscopically the tumour was a well-circumscribed grey-white lesion 8.5 cm ...

BACKGROUND The acute scrotum in childhood or adolescence is a medical emergency. Inadequate evaluation and delays in diagnosis and treatment can result in irreversible harm, up to and including loss of a testis. Various diseases can produce this clinical picture. The testis is ischemic in only about 20% of cases. METHODS This review is based on a selective literature search, the existing clin...

Hydrocele testis is an accumulation of clear fluid between the tunica vaginalis (Pic. 1) and testis (Pic. 2). Adult-onset primary non-communicating hydrocele testis causes progressive swelling and local discomfort on the affected side of the scrotum, and this has been attributed to the enhanced secretion and defective absorption of fluid in the space between the tunica vaginalis and testis. The...

Mesenchymal tumors of the scrotum are extremely rare. These include lipomas, liposarcomas, ficrosarcomas, fibromas, fibrolipomas and myxochondrasarcomas.1 Most lipomas occurring in the scrotum originate and develop in the spermatic cord. In rare cases, a lipoma can originate outside the spermatic cord or in the subcutaneous fat.2 Such lipomas can grow extra ordinarily large and pose as a diagno...

Vitiligo is an acquired cutaneous depigmentation disorder which has a deleterious effect on the psychosexual function of many individuals; the genitalia are the common site for depigmentation. Here, the authors report two cases of focal vitiligo affecting the scrotum of the genital organs which were successfully treated by autologous cultured melanocyte transplantation. Autologous cultured mela...

Background: Many different techniques have been described to treat undescended testes. We aimed to study a new technique of two-stage orchiopexy with total inguinal canal mobilization to prevent cord damage and testicular atrophy. Methods: Between March 2002 and July 2005, we operated on 16 testes with short spermatic cord. In the first stage, the testes were anchored to the pubic tubercle and ...

OBJECTIVE The purpose of this study was to prospectively investigate the role of high-resolution and color Doppler sonography in the differential diagnosis of acute scrotum and testicular torsion in particular. METHODS Patients who underwent sonography for acute scrotum between April 2000 and September 2005 were included in the study. Gray scale and color Doppler sonography of the scrotum was...

BACKGROUND Verruciform xanthoma is a benign verrucous lesion characterized by epithelial acanthosis and lipid-laden foamy histiocytes in the connective tissue papillae. It typically presents as a papillomatous, polypoid, or sessile lesion. Verruciform xanthoma is most commonly observed within the oral cavity. However, albeit less frequently, it develops on the penis, scrotum, or vulva. PURPOS...