Multiple Scrotal Swellings: Idiopathic Scrotal Calcinosis—A Case Series

Idiopathic scrotal calcinosis is a rare, benign condition of uncertain etiology that typically begins in adolescence or early adulthood. Although often asymptomatic, patients usually seek medical attention for cosmetic concerns and may also report pruritus, soreness, or discharge of a white, chalky material from the nodules, occasionally accompanied by secondary infection. This condition occurs in the absence of calcium or phosphate metabolism abnormalities. We present a case series of patients with idiopathic scrotal calcinosis who underwent surgical excision of the involved scrotal skin or enucleation of individual cysts. In Case 1, resection of scrotal skin containing multiple nodules was followed by primary closure. Case 2, a 24-year-old male, underwent wide excision of scrotal skin with primary repair. In a 19-year old male (Case 3, a sleeve of scrotal skin containing a dominant nodule(s) was excised, while Case 4, an 18-year-old male, underwent enucleation of individual nodules. All patients showed good surgical & cosmetic outcomes during follow-up, with no postoperative complications and a high level of satisfaction with the results. Here we discuss the clinical features, pathogenesis and surgical management of this rare condition.