Scrotoliths, also known as scrotal pearls, are benign incidental extra testicular macro-calcifications within the scrotum. They frequently occupy the potential space of the tunica vaginalis or sinus of the epididymis. They are usually of no clinical significance 1-2.

Most scrotoliths are asymptomatic.

Possible aetiologies include:

Usually shows a mobile hyperechoic extra-testicular focus in the potential tunica space. If large enough, the pearl usually has posterior acoustic shadowing. It may be free floating if there is an accompanying hydrocoele.

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Article information

rID: 7432
System: Urogenital
Synonyms or Alternate Spellings:
  • Scrotal pearls
  • Scrotoliths

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Cases and figures

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    Right tunica vagi...
    Case 1: a scrotal pearl with hydrocele
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    Case 2: incidental scrotolith
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