The scrotal has dried
Anatomical features of the skin of the scrotum (sebaceousglands, hair follicles) are a fertile soil for the development of an inflammatory disease. This is facilitated by minor abrasions, dying eczema of the scrotum, sometimes lesions of the perineum, penis.
Edema of the scrotum, caused by defeat of skincovers, is the first stage of inflammation of the scrotum and usually has a diffuse character. Congestive swelling of the scrotum as a manifestation of the general edema also has a diffuse character, however it proceeds without raising the temperature, soreness and other signs of inflammation. Swelling of the scrotum. developing in inflammatory processesthe testicle or its appendage, purulent processes of the perineum, is characterized by the involvement of the testicles in the process. The skin is usually red and soldered with the underlying tissues. The body temperature rises.
Gangrene scrotum skin can be causederysipelas, whose recognition is often difficult. Features of the clinical course of this disease are chills and high fever. Swelling and tension of the scrotum are so significant that it is often necessary, in addition to conventional methods of treatment, to cut the skin in order to avoid further spread of gangrene.
The most severe forms of gangrene are observed whenphlegmon of the scrotum. Primary phlegmon is observed rarely and occurs among the full health (spontaneous gangrene). The disease develops suddenly and with lightning speed, with a severe septic current. Usually phlegmon is secondary as a complication of the inflammatory processes of the scrotum organs, stricture of the urethra, abscess of the perineum, urinary infiltration.
Clinically, the phlegmon of the scrotum is extremely difficult. Chills, high fever, pronounced leukocytosis and a number of other symptoms are characteristic of the septic process.
The scrotum increases sharply in size, is dense intouch, purple. The inflammatory process quickly spreads to neighboring organs and often passes along the spermatic cord into the pelvic cavity. Soon
on the skin may appear patches of dark gray color,indicating a gangrene. There are cases of complete necrosis of the whole scrotum. Such a severe form of phlegmon is a consequence of undiagnosed erysipelas or the penetration of a particularly virulent microbial flora, which, in the opinion of most authors, is an anaerobic infection.
Treatment reduces to the appointment of antibioticsa broad spectrum of action, as well as measures used in sepsis. All this should be done against the background of surgical intervention. With limited phlegmon it is necessary to open the abscess and drain the cavity. With diffuse phlegmon, multiple and wide incisions with a dissection of tunica dartos should be performed. With phlegmon of secondary origin, attention should be paid to the underlying cause that caused this complication.
The prediction for phlegmon of the scrotum depends onthe causes of the disease, the general condition of the patient and in particular from the timely application for medical assistance. Limited phlegmons usually end safely. Poured phlegmons in advanced cases can be complicated by sepsis and lead to death.
In cases of complete gangrene of the scrotum in the futureyou have to resort to plastic surgery. If the plastic surgery of the scrotum skin is not enough and there are difficulties with skin transplantation, they suggest moving the testicle to the inguinal fossa of the thigh. Under a local anesthetic parallel to the inferior inguinal fold, an incision length of 4-5 cm. From this incision under the skin through the doneThe tunnel is dragged into the wound by the testicle, and then placed in the stupid way created by the bed in the inguinal fossa of the thigh. In the box, a rubber or gauze graduate is introduced. In the groin incision, separate skin seams are applied. This method significantly shortens the cure period.