Surgery is recommended for patients not responding to medical treatment within 2 months or demonstrating
intrascrotal abscess (6).
(1) The most common presentation is triorchidism with
intrascrotal left-sided predominance.
The supernumerary testes are
intrascrotal in approximately 75% of cases, inguinal in 20% and retroperitoneal in 5% of cases.
"Self-palpation" orchitis has also been described, which occurs when a patient anxiously self-examines their testicles and scrotum, with the frequent palpation leading to local testicular pain despite a lack of prior symptoms and an absence of
intrascrotal disease (24).
In the case of marked obesity, there is excess lower abdominal, suprapubic and medial thigh fat, which increases the
intrascrotal temperature altering the process of spermatogenesis.
In short, acute filarial hydrocele is a consequence of acute interruption of lymph flow from the tunica vaginalis testis (TVT), caused by filarial granulomas (corresponding to formation of palpable nodules detected by physical examination of
intrascrotal contents).
Vascular
intrascrotal tumors, arising primarily from the epididymis, are not commonly documented in daily practice.
Yadav, "
Intrascrotal paratesticular malignant fibrous histiocytoma--a rare case and its management," Indian Journal of Cancer, vol.
i wsp.: Induction of mesothelioma by a single
intrascrotal administration of multi-wall carbon nanotube in intact male Fischer 344 rats.
Precipitating factors likely include trauma, exercise, increased testicular volume, history of cryptorchidism, presence of testicular tumors, horizontal position of the testes, and the presence of a long
intrascrotal spermatic cord (Cuckow & Frank, 2000; Gomes Dde, Vidal, Foeppel, Faria, & Saito, 2015).
Thirty-year review of
intrascrotal rhabdomyosarcoma.
Fukumori et al., "Induction of mesothelioma by a single
intrascrotal administration of multiwall carbon nanotube in intact male Fischer 344 rats," Journal of Toxicological Sciences, vol.