{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T14:30:02Z","timestamp":1777645802676,"version":"3.51.4"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T00:00:00Z","timestamp":1777334400000},"content-version":"vor","delay-in-days":117,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Urology"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Idiopathic scrotal calcinosis (ISC) is a rare, benign condition characterized by painless, calcified nodules within the scrotal dermis. Although typically asymptomatic, progressive growth and cosmetic concerns often lead patients to seek surgical intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>We report a 35\u2010year\u2010old male with multiple asymptomatic scrotal nodules progressively enlarging over 3 years. Physical examination revealed firm, subcutaneous nodules ranging from 2 to 20\u2009mm. Laboratory investigations, including serum calcium, phosphate, and parathyroid hormone, were unremarkable. Histopathological examination confirmed the diagnosis of ISC, revealing basophilic calcified deposits within a fibrous stroma without cystic epithelial lining, consistent with dystrophic calcification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>A \u201cpinch\u2010and\u2010punch\u201d excision technique was performed under regional anesthesia supplemented by tumescent local infiltration. Individual nodules were elevated by pinching the overlying scrotal skin, followed by targeted removal using 2\u20134\u2009mm disposable biopsy punches. No sutures were required.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome<\/jats:title>\n                    <jats:p>The procedure was completed with minimal bleeding and no intraoperative or postoperative complications. Complete epithelialization occurred within 1 week via secondary intention. At 3\u2010month follow\u2010up, no recurrence was observed and the patient reported high satisfaction with the aesthetic outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The pinch\u2010and\u2010punch excision technique\u2014distinguished by its combination of the tissue\u2010elevation pinching maneuver, tumescent infiltration for hydrodissection, and sutureless wound management\u2014is a safe and cosmetically favorable approach to ISC, particularly for patients with multiple nodules. Histopathological confirmation remains essential. Further prospective studies with longer follow\u2010up are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/criu\/6621943","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:33:19Z","timestamp":1777444399000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pinch\u2010and\u2010Punch Excision: A Minimally Invasive Technique for Idiopathic Scrotal Calcinosis\u2014A Case Report"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0488-5638","authenticated-orcid":false,"given":"Krittin","family":"Naravejsakul","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,28]]},"reference":[{"key":"e_1_2_13_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01925916"},{"key":"e_1_2_13_2_2","doi-asserted-by":"publisher","DOI":"10.4103\/UA.UA_122_19"},{"key":"e_1_2_13_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajur.2018.06.007"},{"key":"e_1_2_13_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2011.05226.x"},{"key":"e_1_2_13_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/cup.12903"},{"key":"e_1_2_13_6_2","volume-title":"Tumescent Technique: Tumescent Anesthesia and Microcannular Liposuction","author":"Klein J. A.","year":"2000"},{"key":"e_1_2_13_7_2","doi-asserted-by":"publisher","DOI":"10.4103\/jdds.jdds_35_18"},{"key":"e_1_2_13_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.13236"},{"key":"e_1_2_13_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/DAD.0b013e31827bfb82"}],"container-title":["Case Reports in Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/criu\/6621943","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/criu\/6621943","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/criu\/6621943","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T06:33:22Z","timestamp":1777444402000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/criu\/6621943"}},"subtitle":[],"editor":[{"given":"Kalyani","family":"Sen","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/criu\/6621943"],"URL":"https:\/\/doi.org\/10.1155\/criu\/6621943","archive":["Portico"],"relation":{},"ISSN":["2090-696X","2090-6978"],"issn-type":[{"value":"2090-696X","type":"print"},{"value":"2090-6978","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2025-08-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"6621943"}}