Scrotal inflammation

A common disease among men is scrotitis. Symptoms include swelling, redness, itching, and odor of the scrotum. The symptoms of scrotitis are unbearable for many men. Scrotitis can be treated by injecting anti-inflammatory drugs, taking oral medications, or using topical medications. In short, scrotitis is a common disease, and men need to prevent it from happening, take a bath frequently, and rinse their lower body. But what other problems are there with scrotitis?

Scrotitis is often caused by pathological factors such as scrotal dampness, scrotal injury, urine extravasation, and diabetes, among which scrotal dampness is the main cause of various pathogens. The pathogens are often Staphylococcus aureus, Pseudomonas aeruginosa (green bacillus), and Streptococcus anaerobes.

Overview

Scrotitis is often caused by pathological factors such as scrotal injury, urine extravasation, and diabetes. Among them, scrotal dampness is the main cause of various pathogens. Since most patients have scrotal dampness, the first step in clinical treatment of scrotitis is to treat scrotal dampness. The pathogens are often Staphylococcus aureus, Pseudomonas aeruginosa (green bacillus), and Streptococcus aeruginosa.

Clinical manifestations

(1) At first, it is a slightly raised red spot with a clear edge. It gradually expands, has scaling on it, and it itches. It gradually changes from red to purple, brown, or skin color.

(2) If not treated in time, the damage will spread and expand. The center of the lesion will gradually heal itself and spread to the surrounding area. The edge of the erythema will be more inflamed, with active rashes, blisters, crusts, and even erosions on it. The center will heal itself and form a ring or semi-ring shape. Outside the scrotal folds, it will appear as scaly patches.

(3) Temporary pigmentation and severe itching will remain after healing.

reason

People who do too much physical labor may have genital dampness, scrotal skin invaded by sweat stains, underwear friction, etc. White-collar workers who often sit at work should also pay attention to the ventilation of the scrotum, and not wear jeans that are too tight and nylon pants with poor breathability. Scrotal injury, urine extravasation, diabetes and other pathological causes can all cause it. [Among them, scrotal dampness is mainly caused by various pathogens] Most patients with scrotitis also have symptoms of scrotal dampness.

Symptoms

1. Scrotal dermatitis: The cause may be related to the lack of B vitamins in the diet. Its symptoms are skin flushing, exudation, peeling, and even blistering, which is painful and itchy.

2. Scrotal eczema: It is mainly caused by the stimulation of sweat and dirt. Its manifestations are redness and swelling of the skin, blisters, exudation, scabs, and even thickening and roughness, which is extremely itchy.

3. Scrotal ringworm: It is a skin disease caused by fungal infection, which is often associated with other skin ringworms in other parts of the patient. The skin of the scrotum is flushed, with papules or blisters, followed by dandruff. The affected area often has ring-shaped damage and is severely itchy.

4. Riboflavin deficiency scrotitis: It is more common in men who eat refined white rice, refined white noodles all year round or have long-term diarrhea, constipation, loss of appetite or picky eating. The main manifestations are: the scrotum is slightly red and shiny at the beginning, and then light red patches appear on both sides of the scrotum, with scales sticking to them. Soon, multiple flat papules the size of soybeans may appear, with varying degrees of itching, often accompanied by angular cheilitis and glossitis.

5. Simple lichen scrotum: It is a neurodermatitis of the scrotum. Its characteristics are itching, thickening and coarsening of the skin, but no permeation of fluid. The course of the disease is often long and recurrent and difficult to heal.

Diagnosis

The diagnosis of scrotitis includes clinical diagnosis, etiological diagnosis, and laboratory diagnosis. Etiological diagnosis is an important part in helping to distinguish infectious scrotitis from non-infectious scrotitis and guiding the selection and use of antimicrobial drugs for treatment.

Laboratory examination: The total white blood cell count in the blood was elevated, and bacterial growth was observed in local pus culture.

Traditional Chinese Medicine Methods

1. Understand the characteristics. Skin lesions are mostly irregular, polygonal or flat round papules that merge into patches and are normal skin color or light brown. Over time, the skin becomes thickened, the skin grooves deepen, the skin ridges rise, and it is easy to form lichenification, which is an important feature of this disease.

2. Distinguish diseases and venereal diseases. The skin lesions at the beginning are mainly papules, or erythema, itching, red tongue, greasy coating, and rapid pulse. These are mostly wind, dampness, and heat evil blocking the skin, which is a real syndrome. If the disease does not heal for a long time, or recurs repeatedly, it will develop into blood deficiency and wind dryness. The skin lesions will be lichen-like, dry, thick, and scaly, like the skin of a cow's collar, accompanied by a pale red tongue and a weak pulse. These are mostly deficiency syndromes or a combination of deficiency and excess syndromes.

3. Understand the causes. This disease is often triggered or aggravated by mental factors, irritating foods, or friction and scratching of clothing.

Western medicine diagnosis

1. Chronic scrotal eczema: There is often an acute blisters phase. Even if it is chronic at the beginning, blisters are often seen in tissue pathology. The lesions are significantly infiltrated and thickened, often covered with scales and crusts, and the lichenification is not prominent. There are no blisters in clinical and tissue pathology of scrotitis. The skin lesions are mostly irregular, polygonal or flat round papules fused into pieces, and the lichenification is obvious. In terms of the cause of the disease, the former is mainly allergic, and the latter is mainly mental disorder.

2. Pruritus: At the beginning of the disease, it is just itching, without any primary rash, accompanied by burning, crawling, and ant-walking sensations. The affected area often has secondary damage such as scratches, rubbing, exudation, and blood scabs. The boundaries of lichenification are unclear. Scrotal dermatitis is caused by local itching and scratching, and polygonal flat papules merge into pieces. The boundary between lichenification and normal skin is clear.

3. Lichen planus: polygonal rash or triangular flat papules with a depression in the center, purple or dark red, waxy luster and strip-like damage. The cheek mucosa often has grayish white flat polygonal rash. Scrotal dermatitis does not have these manifestations.

Categories

There are three types of scrotitis

1. Erythematous type: Symmetrically distributed on both sides of the scrotum, about 3×4 cm in size, with distinct erythema edges, covered with gray or brown thin scabs, and a rough surface. After the scabs are peeled off, slightly reddish skin is exposed, without significant infiltration. When the lesions expand, they may fuse at the root of the penis.

2. Papular type: At the beginning, there are several scattered soybean-sized papules on one side of the scrotum, which are significantly higher than the skin, flat, and covered with thin brown scabs. Later, they increase and expand, densely and symmetrically distributed on both sides of the scrotal suture, about 3×4cm, fused into a piece, and often fused at the root of the scrotum. There are irregular, gray-black thick scabs that are significantly higher than the skin surface in the coronal sulcus of the penis, and there are gray scales on the penis. There are scattered folliculitis or abscesses in the pubic area and groin area.

3. White papules with silver scales: This type is rare but very typical. It consists of a large area of ​​flat papules the size of melon seeds fused together in front of the scrotum. They are silvery white in color and silvery scales will fall off when scratched.

Treatment and prevention

treatment

1. Drug treatment

(1) Compound levofloxacin solution is a preparation made in-house in hospitals. It is mildly irritating and has a rapid effect. It can be applied externally 1 to 2 times a day for 10 consecutive days to achieve clinical recovery.

(3) 1% clotrimazole, clematis cream, 1% econazole cream, etc. I recommend clotrimazole.

The skin of the penis is thin and tender, so do not use overly irritating drugs during treatment. If the disease does not heal after long-term treatment, or the area is large and the disease is widespread, you can take 200 mg of Sporanox orally once a day for 5 consecutive days.

2.Surgery

After abscess is formed, abscess incision and drainage should be performed. If scrotal necrosis occurs, scrotal excision should be performed.

Prevention and Improvement

1. Developing good living habits plays an important role in the prevention and treatment of diseases. Underwear should be loose and made of pure cotton fabric with strong moisture absorption. Do not wear tight underwear and jeans made of chemical fiber materials.

2. Improve the working environment and ensure good ventilation and cooling. Drivers of long-distance vehicles should take turns driving on schedule.

3. During the treatment period, do not use hot water or detergents containing perfumed soaps to avoid allergic contact dermatitis.

4. Do not apply irritating drugs or hormone drugs containing "pine" to prevent bacteria from breeding and aggravating skin damage.

5. In terms of diet, eat less spicy food and more fresh vegetables and fruits. Choose a high-nutrition diet and take vitamin B2 or vitamin B complex.

6. Frequent cold and wet compresses can relieve itching, reduce inflammation and reduce exudation. The specific method is to soak a towel with clean water, squeeze it half dry, stack it into 4 layers, and apply it tightly to the scrotum. Wash it every 3 minutes, and repeat for several times. After the itching and exudation stop, apply iodine or iodine glycerin. Apply it again when it itches until it heals. Do not scratch, rub or rub.