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Scrotal Pearl Symptoms, Causes, Treatment, Removal

   

Scrotal pearl is also known as scrotolith. These are benign in nature.  The occurrence of scrotal pearl is incidental and appears on extra testicular surface. These are like macro calcifications inside the scrotum. Scrotal pearls covers the space of tunica vaginalis (serosal covering of testes) or sinus of the epididymis. Epididymis is present adjacent to the testes inside the sac of scrotum. Scrotal pearls have no clinical significance. Scrotal pearls are symptomatic and do not show any symptoms. The basic cause behind occurrence of scrotal pearls is mountain riding. As trauma may occur on the scrotum leading to scrotal pearls.



Scrotal Pearl Symptoms


Scrotal pearls on scrotum of the testes is asymptomatic and do not show any specific symptoms. These are macro calcifications which appear on the sinus of epididymis or covers the maximum space of tunica vaginalis. Patient experience no problems regarding scrotal pearls. Sometimes patient experience scrotal pain some month before with regular episodes. Scrotal pearls are loose in nature and disappear after some time on it's own. Pain episodes may occur with some interval of time but does not remain for longer term. These scrotal pearls are soft masses and can't be feel without touch.

Scrotal Pearl Symptoms, Causes, Treatment, Removal

Scrotal Pearl Causes


There are not any defined causes behind the occurrence of scrotal pearl. These are benign in nature and does not require treatment. Some of the main reasons include mountain riding. When mountain bikers ride on mountain, due to ups and downs there may be small sized trauma on the scrotum. These trauma may lead to formation of scrotal pearl. Another main cause is the torsion of the appendix testis. Scrotal pearls are formed prior to the torsion of appendix testis. And after some time disappear on it's own. No specific treatment is required for the scrotal pearls.

Scrotal Pearl Treatment


Scrotal pearls are benign in nature and can disappear on it's own after specified time. So no treatment is required. If there are pain episodes with scrotal pearls, then some of pain medications are prescribed with proper care. Physicians ask patient to lie down mostly and do not sit for longer time as it can increase pressure on scrotal pearls and this may cause problem. Patients do not have to worry about scrotal pearls because they are of no clinical importance. These scrotal pearl can easily move within the epididymis so it can't be a cancerous lump because it is soft and movable.

Scrotal Pearl Removal


Scrotal pearls are if no clinical importance so patients do not have to worry about it. Pain may occur in the form of acute episodes so it should be managed with the help of over the counter pain medications. In some cases, the symptoms become worse and patient can't bear the pain also the scrotal pearl grow bigger in size. In this situation, surgical removal of scrotal pearl is recommended. In the surgical procedure, a small incision is made on the surface of epididymis and then this macro calcification is removed safely.

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