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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2016.132

Type of Article: Review

Volume 3; Issue 7: July 2016

Page No.: 332-336

DOI: 10.16965/ijims.2016.132

Review of Aetiology and Management of Testicular Abscess and Case Reports on Testicle Sparing Management of Testicular Abscess

Devendra K. Prajapati *1, Kapil Rampal 1, Jyoti M Prajapati 2.

*1 Senior Resident Department of Surgery, Deendayal Upadhyay Hospital, New Delhi, India.

2 Scholar in Computer Application.

CORRESPONDING AUTHOR ADDRESS: Dr. Devendra   K   Prajapati, WZ 423 A Nanakpura Harinagar, New Delhi-110064, India. E-Mail: dr.dev1982@gmail.com

ABSTRACT

Testicular abscess is a rare surgical emergency encountered by a surgeon. Very little documentation is available in literature. This is reason has contributed for this review article about testicular abscess. Testicular abscess develops as a complication in about 4-5% case of acute scrotum like acute epididymorchitis, testicular trauma or instrumentation. Single radiological investigation, USG of inguino-scrotal region is sufficient to diagnose testicular abscess. Both active surgical drainage at first go and conservative management with empirical antibiotics and serial radiological monitoring via USG have been advocated, but finally about 50% patient needs incision and drainage or orchidectomy. We have managed two patient of testicular abscess with testicle sparing incision & drainage. In one case, after drainage primary closure of skin was done with drain placement and in the other case skin had to be debrided and wound was kept open, later secondary closure was done. In both cases testicles spared viable and all confirmed by USG color Doppler in follow up.

Primary closure of wound after incision & drainage depends on condition of skin. Testicular abscess without skin changes can go through primary closure after drainage

Key words: Testicular Abscess, Epididymorchitis, Acute Scrotum, UTI, Management of Testicular Abscess, USG Testicular Abscess, Orchidectomy.

REFERENCES

  1. M. Desai, J. C. Gingell, and J. M. Haworth, Localised intratesticular abscess complicating epididymo-orchitis: the use of scrotal ultrasonography in diagnosis and management, British Medical Journal, 1986;292(6532):1361-1362.
  2. LuzziI GA and O’Brien TS. Acute epididymitis. BJU International 2001;87:747-755.
  3. Dogra, V.S., et al., Sonography of the scrotum. Radiology, 2003;227(1):18-36.
  4. Thakur, A., et al., Scrotal abscess following appendectomy. PediatrSurgInt, 2001;17(7):569-71
  5. S Khan, J Rehman, B Chughtai, D Sciullo, E Mohan, H Rehman. Anatomical Approach to Scrotal Emergencies: A New Paradigm for the Diagnosis and Treatment of the Acute Scrotum. The Internet Journal of Urology. 2009;6(2).
  6. Granados Loarca, E.A., [Testicular abscess: a manifestation of tuberculosis]. ActasUrolEsp, 1998;22(4):381-3.
  7. Wilks D, Farrington M, Rubenstein D. The infectious diseases manual. Wiley-Blackwell. 2003; ISBN: 063206417X.
  8. Bodner D. Resnick MI, Novick AC. Scrotal abscess. In: Urology Secrets, eds. 3rd. Hanley and Belfus Inc. 2003;70:270.
  9. Bluth EI, Benson CB, Ralls PW et-al. Ultrasonography in Urology. Thieme. ISBN: 1588906094.
  10. Berman JM, Beidle TR, Kunberger LE et-al. Sonographic evaluation of acute intrascrotal pathology. AJR Am J Roentgenol. 1996;166(4):857-61.
  11. Dalrymple NC, Leyendecker JR, Oliphant M. Problem Solving in Abdominal Imaging. Mosby Inc. 2009; ISBN: 0323043534.
  12. Zagoria RJ. Genitourinary radiology, the requisites. Mosby Inc. 2004; ISBN: 0323018424.
  13. http://www.mademan.com/mm/how-treat-scrotal-abscess.html#ixzz3ySnK0SeK
  14. Granados Loarca, E.A. et al. Epididymo.testicular abscess. Arch EspUrol, 1994;47(6):553-6.
  15. Slavis, S.A., J. Kollin, and J.B. Miller, Pyocele of scrotum: consequence of spontaneous rupture of testicular abscess. Urology. 1989; 33(4): p. 313.6.
  16. Demuth PJ, Gerding GN,Crossley K. Staphylococcus aureusArch Intern Med. 1979;139:78-80.
  17. Barrett SP, Savage MA, Rebec MP, Guyot A, Andrews N, Shrimpton SB. Antibiotic sensitivity of bacteria associated with community-acquired urinary tract infection in Britain. J Antimicrob Chemother. 1999;44:359-65.
  18. Coll PP, Crabtree BF, O’Connor PJ, Klenzak S. Clinical risk factors for methicillin-resistant Staphylococcus aureus bacteriuria in a skilled-care nursing home. Arch Fam Med. 1994;3:357-60.

 

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