Abscess of the scrotum: causes, symptoms, diagnosis and treatment methods
The encapsulated focus of pus in the tissues of the scrotum is called an abscess of the scrotum.It is worth noting that this is a fairly rare pathological condition.May occur primarily, or develop due to other pathologies.More often the abscess is a complication of acute purulent epididymoorkhitis.It is difficult to diagnose due to puffiness and various pains in the perineum, scrotum and penis.Table of contents: Classification of the disease Causes of scrotal abscess Symptoms of scrotal abscess Diagnosis of pathology Methods for treatment of scrotal abscess Forecast
Classification of disease
Given the localization of the disease, the following are identified:
- surface( foci located in the surface layers of the body and skin);
- internal and intramoonal abscesses of the scrotum.
Given the causes of the development of the disease, distinguish on :
- secondary( develop due to complications in the background of other pathological processes).
Surface purulent foci can be primary and secondary.Internal abscesses are secondary, and develop due to the spread of infection from the organs of the scrotum.
Causes of scrotal abscess
The most common pathogens are purulent hemolytic or golden staphylococcus, or microbes.Less commonly diagnose a scrotum abscess, the causative agent of which is salmonella, brucella, candida, pale spirochetes and anaerobic microorganisms.
The causes of the disease can be such local factors:
- thin skin;
- increased amount of sweat and sebaceous glands;
- loose subcutaneous tissue;
- increased tissue moisture.
Important! Due to the fact that the urethra is in close proximity to the anus, the scrotum can be affected by different bacteria.
In some cases, an abscess of the scrotum can provoke:
- chronic medical conditions;
- drug use;
- diabetes mellitus;
The abscess of the scrotum can develop as a result of a purulent inflammatory process in the testicles and appendages.More rarely the cause of pathology may be a furuncle, abscesses, carbuncle, open trauma and postoperative infections.
Sometimes the abscess of the scrotum develops against the background of paralysis, Crohn's disease or destructive pancreatitis.
The cause of scrotum abscess in young children is infection in the internal organs.
Symptoms of scrotal abscess
The disease is developing rapidly.The first symptoms are pain and swelling in the scrotum, which in the next few days progress .The skin of the scrotum turns red, the temperature rises.
General signs of scrotal abscess:
- temperature increase up to 39 degrees;
- strong weakness;
- headache and muscle-joint pain;
- the broken condition.
Sometimes the symptoms progress rapidly, a pronounced systemic inflammatory process is observed.The abscess of the scrotum, provoked by a pale spirochete, tuberculous bacteria or fungus, is asymptomatic.Sometimes, moderate pain can be disturbed and the temperature may rise slightly.
Attention! If treatment of an abscess does not start in a timely manner, it can break through.In this case, the infection will spread further.
In some cases, due to blood flow disorders on the skin of the scrotum, hemorrhages develop, which subsequently form surface foci of infection in the affected tissues.
Diagnosis of pathology
To make a diagnosis, the doctor conducts a survey and an external examination.In addition, he appoints laboratory and instrumental research.
When examining a patient with an abscess of the scrotum, local hyperthermia and hyperemia in the affected area are revealed, as well as a significant puffiness.
Palpation of the scrotum causes severe pain.
A blood test shows leukocytosis with a left shift and an increase in ESR.
Scrotal ultrasound is used to specify the stage of the disease and the location of purulent foci.
MRI and CT examination are indicated if there is a suspicion of the spread of infection from the abdominal cavity, small pelvis and retroperitoneal space.This allows us to identify the source and ways of spreading the infection.
Methods for treatment of scrotal abscess
When diagnosing an abscess, the patient is immediately hospitalized in the urological or andrologic department.
In the early stages, antibacterial and anti-inflammatory therapy is performed.
The ruptured abscess is opened, and the abscess is drained.In severe destructive processes, an orchiectomy is performed.If the purulent process spreads, the amount of surgical intervention increases.
After surgery, they make dressings and prescribe antibiotics.
As a rule, the prognosis for life with this disease is favorable.
With a triggered form, fistulas and wilts can form into the perineal and pararectal tissue areas.A rare but dangerous complication of pathology is Fournier's gangrene, at which necrosis of scrotum tissues occurs.In 50% of cases, this complication results in a fatal outcome.
Men should understand that scrotal injury is dangerous, and can lead to suppuration and infection.Therefore it is very important to consult a doctor at the first symptoms. Postponing treatment can lead to impaired sexual function, blood infection, infertility, and even death.Beware of various injuries and carefully monitor your health.
Radevich Igor Tadeushevich, the doctor of the sexopathologist-andrologist of 1 category