Scrotoscopy is a new endourologic technique for the exploration of the
scrotum. After distention of the tunica vaginalis space with saline,
a standard arthroscope was employed in 20 cadavers and subsequently in
5 patients before full surgical exploration for hydrocele (I case), t
esticular biopsy (3 cases), or orchidectomy (1 case). There was a clea
r view of the testis and epididymis. The procedure was easy, and there
were no major complications. Scrotoscopy could potentially be perform
ed on an outpatient basis. Its indications in infertility appear to be
particularly promising.