Clinical features and treatment outcome of scrotal abscess: an analysis of 24 cases

Abstract:

Objective To investigate the clinical features of patients with scrotal abscess，and to provide a basis for clinical diagnosis and treatment of the disease.Methods We retrospectively analyzed the clinical data of patients with scrotal abscess collected from the electronic medical record system of The Second Affiliated Hospital of Chongqing Medical University from January 2016 to September 2021.Results A total of 24 patients with scrotal abscess were included，with a mean age of （49.29±17.05） years. The clinical symptoms included scrotal pain，redness，swelling，and purulent ulceration and even systemic fever. Epididymitis was the main comorbid condition（7 cases，29%）. Among the 16 patients having a pus culture test，11（69%） were positive for pathogenic bacteria，which were mainly Escherichia coli，Staphylococcus，and anaerobic bacteria. Four（17%） cases were treated conservatively with antibiotics alone； and 20（83%） cases were treated with abscess incision and drainage combined with antibiotic therapy，of whom four patients underwent lesion resection and pathological examination，resulting in a treatment change to anti-tuberculosis drugs in three（13%） cases due to the findings of tuberculous granulomatous inflammation. All the 24 patients had significantly remissions on discharge，with a mean length of hospital stay of （12.96±7.53） days. One patient relapsed three years after discharge with cure.Conclusion Scrotal abscess should be treated with incision and drainage and potent anti-infective treatment as soon as possible once confirmed. Education on health and personal hygiene should be administered to prevent its occurrence.