Scrotal calculi in clinical practice and their role in scrotal pain: A prospective study

ABSTRACT Purpose Scrotal calculi are rare, and their clinical significance is uncertain. Scrotal pain is a frequent, hard‐to‐manage problem in urology clinics. Our purpose in this study was to determine the relationship between the presence of scrotal calculi and scrotal pain in a prospective manner. Methods Sonography and color Doppler ultrasound of the scrotum were performed in 758 consecutive patients referred with scrotal pain. The pain was rated by using an 11‐point numeric rating scale; scores were compared among patients with scrotal calculi with and without additional scrotal pathology. Results Scrotal calculi were detected in 73 of the 758 patients (9.6%). Scrotal pain (n = 50 [61%]) and a palpable mass in the scrotum (n = 25 [30.5%]) were the most common complaints in patients with scrotal calculi. Hydrocele (n = 17 [29.8%]) and varicocele (n = 15 [26.3%]) were the most commonly associated abnormalities; there was a statistically significant association between the presence of scrotal calculi and hydrocele (p