Scrotal Abscess

Question 1

Clinical Presentation?

Answer 1

-History-
1. Poor Hygeine
1. Symptoms of UTI or STD

-PE-
1. Erythematous and Edematous Scrotum

Question 2

Management

Answer 2

1. Analgesia + IV Abx
2. I&D with cavity left open and packed (allow wound to granulate from the base preventing a closed space from forming that becomes 2’ infected.

Question 3

Complications

Answer 3

1. Incomplete drainage leading to persistence of abscess or repeat I&D
2. Fournier Gangrene (nec fas due to synergistic polymicrobial infection)