Treatment modalities for scrotal swellings and its outcome at a tertiary care hospital

Abstract

The scrotal pouch is situated below the penis and pubic symphysis containing the testes, epididymis and lower portions of the spermatic cord. It is divided into two sacs by a partial median raphe or septum which continues into the perineal skin posteriorly and anteriorly along the lower aspect of the penis. The homologue of this raphe in females remains separated to form the labia majora. The cases admitted to the surgical wards in Medical College Hospital and Research Center, formed the material for this study. During this period 100 cases with h/o scrotal swelling admitted in various surgical units, selected at random were studied in detail as per proforma. Jaboulay procedure was the most common surgery done for hydrocele followed by Lords plication and partial excision. Open varicocelectomy was done in 11 cases and laparoscopic in 2 cases. Orchidectomy was done in 7 cases, four for testicular tumor and 3 cases were for torsion testis. Orchidopexy was done in 3 cases of torsion where the affected testis was found viable. Debridement and Incision Drainage were done for Fourniers and Scrotal abscess respectively.