Comparison between Open Epididymal Cystectomy and Minimal Resection of Epididymal Cysts Using a Scrotoscope: A Clinical Trial for the Evaluation of a New Surgical Technique

Yang, Jin; Wei, Yongbao; Yan, Bin; Yin, Zhihua; Gao, Yunliang; Wang, Zhao; Zhou, Ke-qin

doi:10.1016/j.urology.2015.03.003

Cited by 24 publications

(25 citation statements)

References 20 publications

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“…They concluded that minimal epididymal cystectomy with scrotoscope is new safe and effective technique. 19 Natural involution was most effective treatment modality in group I and group II. Aspiration was the second was most effective.…”

Section: Discussionmentioning

confidence: 95%

A randomised study of management modalities in epididymal cyst

Arora

2019

Int Surg J

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Background: Epididymal cysts are common in teenagers and young adults. They can present as unilocular or multilocular swelling. These cysts are generally present on one side but can be bilateral. Small epididymal cyst are asymptomatic but are detected on ultrasound examination of scrotum. This study was done with aim of treating epididymal cyst with different modalities based on size of the epididymal cyst. Methods: A total of 124 patients of epididymal cyst were included in this study. Scrotal ultrasonography was done in these patients. The clinical presentations of these patients were asymptomatic detected on ultrasound, orchialgia, scrotal swelling and physical examination. Based on the size of epididymal cyst patients were divided into three groups. The treatment modalities used these were natural involution, aspiration, aspiration and sclerosing agent and surgical excision. Results: The group I consisted of cyst size less than 10mm having 73 patients. The group II consisted of patients with cyst size 11-20mm having 39 patients; and group III patients were with cyst size 21-50mm having 12 patients. Natural involution was most effective treatment modality in group I and group II. Aspiration was the second was most effective. Only a few patients required aspiration and sclerosing agent. Surgical excision was done in majority of group III patients and failed aspiration in group II. Conclusions:The results of present study show that asymptomatic and small epididymal cyst can be cured by natural regression in 77.42%. The cysts 11 to 20mm are amenable to aspiration alone, only a few need repeat aspiration and instillation of a sclerosing agent. These conservative approaches save the cost. Excision should be reserved for very large cysts and in which conservative approach fails.

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Section: Discussionmentioning

confidence: 95%

A randomised study of management modalities in epididymal cyst

Arora

2019

Int Surg J

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“…Their results demonstrated that a scrotoscope is a good tool for locating the mass in the scrotum and ensuring its complete removal, thereby decreasing the recurrence rate. In addition, Yang et al [ 12 ] randomized 48 patients with symptomatic epididymal cysts (ECs) to receive either traditional open epididymal cystectomy (OEC, n = 23) or minimal epididymal cystectomy with resectoscope as a scrotoscope (MECS, n = 25). Significant differences were observed after MECS compared with after OEC based on the rates of symptomatic relief (95.2% versus 61.1%; P < 0.05) and duration of wound pain (12.1 versus 17.7 days; P < 0.05).…”

Section: Discussionmentioning

confidence: 99%

“…This finding can also explain why the incidences of scrotal edema (3.1% versus 7.7%, P < 0.05) and hematoma (0% versus 5.1%) were significantly less in SG than in OEG. A comparison of our SG method with Yang's scrotoscopy method [ 12 ] revealed that the latter used a resection electrode loop, which led to a higher incidence of edema (2/25, 8%). Conversely, we used operating forceps or laser fibers, which theoretically had less impact on the scrotal wall and contents.…”

Section: Discussionmentioning

confidence: 99%

How to Treat Chronic Idiopathic Testicular Pain? Scrotoscopy with a Novel Percutaneous Endoscopy Equipment

Lei

Luo

et al. 2018

BioMed Research International

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Background Management of chronic idiopathic testicular pain may be difficult because of problems identifying the causes. We evaluated “AUTOKLAV”, a novel endourological nephrolithotomy device to diagnose and treat chronic idiopathic testicular pain. Methods We divided 103 patients to either scrotoscopy group (SG, n = 64) or open exploration group (OEG, n = 39) between September 2014 and March 2017 at Zhongnan Hospital. Perioperative information, like operating time, length of incision, and wound infections, was carefully recorded during in hospital. Follow-up data, like pain scores improvement, satisfaction with penis appearance, and adverse event, were collected at one month postoperatively. Results Finally, both the operating time and length of incision showed better performance for SG (43.6 ± 4.7 versus 51.5 ± 9.0 min; 0.7 ± 0.2 versus 4.1 ± 0.8 cm; both P <0.01). Though the pain improvement had no significant differences between the two groups (2.92 ± 0.99 and 2.14 ± 1.02, p>0.05), SG showed obvious advantages in incidence of wound infections and satisfaction with wound/scrotum appearance (0% versus 2.9%; 96.4% versus 85.3%, both P<0.05). Conclusions In conclusion, scrotoscopy using the novel AUTOKLAV device is feasible, has an acceptable complication rate, and can be effective and safe in men with idiopathic chronic testicular pain. Etiologically, secondary inflammatory changes caused by the complete or incomplete torsion of testicular or epididymis appendices or by the existence of stones in the tunica sac might be responsible for the pain.

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“…In fact, scrotal wall mass is relatively rare in clinical practice, and very di cult to be differentiated from scrotal content lesions by physical or ultrasound examination, which brought us a certain degree of trouble to make an appropriate therapeutic regiment. With the aid of scrotoscope, we could observe and determine the nature of the scrotal mass directly, which could provide us necessary information for proper management [2][3][4][5] . In some cases, we can resect the scrotal masses directly under scrotoscope 2,[6][7][8] .…”

Section: Introdutionmentioning

confidence: 99%

“…With the aid of scrotoscope, we could observe and determine the nature of the scrotal mass directly, which could provide us necessary information for proper management [2][3][4][5] . In some cases, we can resect the scrotal masses directly under scrotoscope 2,[6][7][8] . This study was conducted to share the experiences of scrotoscope in diagnosis and treatment of Scrotal wall masses.…”

Section: Introdutionmentioning

confidence: 99%

Diagnosis and Management of Scrotal Wall Mass with the Aid of Scrotoscope: Case Series Report

Zhang

Gao

et al. 2020

Preprint

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Background Scrotal wall mass is relatively rare in clinical practice, and very difficult to be differentiated from scrotal content lesions by physical or ultrasound examination. Herein, we would like to share the experiences of scrotoscope in diagnosis and treatment of Scrotal wall masses. Methods Retrospectively reviewed all the clinical data of scrotal wall mass patients treated by our medical team between June 2015 and July 2019. The diagnostic value was evaluated by comparing with Doppler ultrasound examination and the therapeutic value was evaluated by comparing with traditional surgery. Suspected scrotal tuberculosis or malignant scrotal tumor patients were excluded. Results Totally, 6 patients with scrotal wall masses were diagnosed and treated with scrotoscope. Preoperative ultrasound examination leaded to ambiguous or incorrect diagnosis of the origination of scrotal wall masses in all the 6 cases. The location of all the masses was clearly confirmed by scrotoscope exploration. Three patients were diagnosed as scrotal wall cysts, and 1 of them was successfully resected during the procedure, the other 2 were resected through small incision. In the other 3 patients, a total of 4 scrotal wall solid masses were resected through small incision after diagnosis by scrotoscope. There was no wound infection, scrotal edema, hematoma, chronic scrotal pain or injury of testicular or epididymis. Conclusions Scrotal wall masses are relatively rare, and it is very difficult for preoperative ultrasound examination to make a firm diagnosis of its origination. Scrotoscope can confirm the localization of the tumor, and provides us important information for minimally invasive resection. And even in some cases, endoscopic resection of the masses can be performed under scrotoscope.

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Comparison between Open Epididymal Cystectomy and Minimal Resection of Epididymal Cysts Using a Scrotoscope: A Clinical Trial for the Evaluation of a New Surgical Technique

Cited by 24 publications

References 20 publications

A randomised study of management modalities in epididymal cyst

A randomised study of management modalities in epididymal cyst

How to Treat Chronic Idiopathic Testicular Pain? Scrotoscopy with a Novel Percutaneous Endoscopy Equipment

Diagnosis and Management of Scrotal Wall Mass with the Aid of Scrotoscope: Case Series Report

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