painless scrotal masses are clinical syndromes composed of variable causes such as benign disease and testicular cancer. So, the methods of treatment are differ from each causes and in the case of testicular cancer, as its painless nature, the
delayed
treatment can be alter the methods of treatment and the prognosis.
During 21 months, between June 41994 and March 1996, we evaluated the confirmed diagnosis, the method of treatment, the diagnostic method and the distribution of age form the 125 cases of 109 patients who are admitted to the hospital from the
painless
scrotal mass and underwent surgical treatment and pathologic typing, retrospectively.
Of the 125 cases, 57 cases (46%) were below 20 years old and communicating hydrocele was most common case (51 cases) and 66 cases were age of over 20 years old. In 66 cases, 17 cases (25%) were chromic epididymitis, 15 cases (22.1%) were
noncommunicating hydrocele and 9 cases (13.2%) were varicocele, respectively. malignant neoplasm was distributed to the 1 case of pediatric group and 3 cases (4.4%) of adult group. Transillumination test, generally, revealed negative or equivocal
finding except to hydrocele. On the ultrasonographic test (35 cases), most cases were identical or correspond to the postonerative diagnososis and 1 cases was misdiagnosed (accuracy rate, 9701%) but in the case of inflammatory disease, it was
difficult
to differentiate between specific and non-specific infection.
We conclude that the work up for the painless scrotal mass should begin with careful physical examination, and when the physical examination, scrotal transillumination and scrotal ultrasongraphy show the equivocal finding, surgical exploration
with
inguinal incision will be necessary to prevent the sequele or complication of malignant disease.
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