Prevalence and risk factors for scrotal lesions/anomalies in a cohort of Brazilian men ≥ 40 years of age.
OBJECTIVE
To estimate the prevalence of and risk factors for cutaneous lesions of the scrotum and intrascrotal lesions/anomalies among men included in a prostatic cancer screening program in a Brazilian metropolitan city.


METHODS
Cross-sectional study, private outpatient healthcare service.


METHODS
1731 men aged 40 years or over, participating in a prostate cancer screening program conducted by the municipal public employees' healthcare system, underwent systematic urological assessment by a single examiner.


RESULTS
The prevalence of scrotal diseases in our sample was 44.7% (773/1731). Tinea cruris occurred in 203 (11.7%) of the participants, with higher risk among diabetics and lower prevalence among nonwhite individuals; scrotal tinea in eight (0.5%), with higher risk among hypertensive men; subcutaneous nodules in 12 (0.7%), especially in individuals with low schooling level; hydrocele in 283 (16.4%), with higher frequency among participants over the age of 60 years, diabetics or individuals with previous histories of nonspecific urethritis; spermatoceles in 174 (10.1%), with greater prevalence among individuals over the age of 60 years or diabetics, and lower frequency among individuals who underwent vasectomy; unilateral testicular hypotrophy/atrophy in 167 (9.7%) and bilateral hypotrophy/atrophy in 93 (5.4%), both occurring more frequently in individuals over the age of 60 years; absence of palpable testicles due to cryptorchidism in 7 (0.4%); and epididymitis/orchitis in 5 (0.3%), with higher prevalence among diabetics. No cases of cancer were identified in this sample.


CONCLUSIONS
Scrotal diseases were highly prevalent in this population of Brazilian men.
Department of Surgery, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Frederico Ramalho
FR
Romero
Urology Service, Hospital Policlínica, Cascavel, Paraná, Brazil.
Antonio Wilson
AW
Romero
College of Medicine, Faculdade Assis Gurgacz, Cascavel, Paraná, Brazil.
Rui Manuel de Sousa Sequeira Antunes de
RM
Almeida
Núcleo de Atenção à Saúde, Instituto Curitiba de Saúde, Curitiba, Paraná, Brazil.
Fernando Cesar de
FC
Oliveira
Department of Surgery, Universidade Federal do Paraná, Curitiba, Paraná, Brazil.
Renato
R
Tambara Filho
D000328:Adult; D017677:Age Distribution; D000367:Age Factors; D001938:Brazil / Q000453:epidemiology; D003430:Cross-Sectional Studies; D048909:Diabetes Complications; D005832:Genital Diseases, Male / Q000453:epidemiology* / Q000209:etiology*; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012307:Risk Factors; D012611:Scrotum; D012959:Socioeconomic Factors; D014005:Tinea / Q000150:complications; D014526:Urethritis / Q000150:complications; D014659:Vasectomy / Q000009:adverse effects