Spectrum of scrotal diseases & its management in rural medical college
Keywords:
Hydrocele, Epididymo Orchitis, Torsion Of Testis, Scrotal DiseaseAbstract
Scrotal complaints are common surgical problems encountered in men for whom patients report in the surgical outpatient department as well as in the emergency department. Due to the long-time gap, they are diagnosed at an advanced stage with high morbidity and mortality. So a present study was conducted to know the correct incidence of pathologies affecting the scrotum in this western part of India; their mode of presentation; diagnosis; management done for these conditions.All patients aged 18 years or older, who were diagnosed with acute scrotum in Dhiraj Hospital, from March 2021 to September 2022, were assessed.50 patients were assessed. Out of total, 30% patients were diagnosed with Testicular torsion followed by 24% who had Acute Epididymo- orchitis. Only 4% were affected by acute scrotum due to trauma.Conservative management with antibiotics, analgesics, scrotal support and rest is most effective in case of epididymo-orchitis. Emergency exploration of the scrotum proved to be the best care in case of pyocele, Haematocele, torsion testis, testicular abscess and Fournier’s gangrene. It doesn’t involve major expenses with negligible surgical mortality, also shown to be the best as confirmed diagnosis can be reached with almost all cases with exploration.
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