Scrotal ulcer with discharge

When the male testicular skin is broken, water flow will occur, and the clinical symptoms of swelling and pain will continue. This requires immediate hospitalization for a detailed examination to determine whether it is caused by testicular damage. If diagnosed with testicular damage, it is imperative to undergo testicular repair surgery immediately, otherwise it will affect the normal daily life of male friends in the future, and even affect pregnancy.

Male testicular skin rupture and water discharge

Scrotal injuries are divided into two categories: open and traumatic. Open injuries can be caused by firearms, knife stabs, punctures, lacerations or avulsions. Firearm injuries can cause scrotal skin shattering and loss, and are often accompanied by damage to scrotal contents such as the testicles and spermatozoa, which are more serious. Closed injuries often occur in sports competitions, riding injuries and kicks. They can be mild and simple injuries, but can also cause abscesses and testicular rupture. Abscesses can occur in the soft tissue of the scrotal wall, or in the tunica vaginalis of the testicles, causing hemocele. Because male testicular cysts are encapsulated in the scrotum, they usually manifest as scrotal injuries and are not easily taken seriously.

Male testicular skin rupture and water discharge

Abscesses, pain, etc. often make it difficult to distinguish whether there is scrotal content, especially testicular injury, during physical examination, which can easily delay diagnosis and treatment. If the capillaries of the testicular tunica albuginea rupture or a large abscess in the scrotum can cause local high pressure, resulting in future testicular atrophy; bilateral testicular injury is more likely to ignore the treatment of the side with milder symptoms; if the treatment of one-sided testicular injury is incorrect, testicular rupture leads to secondary infection of abscesses and exposure of sperm antigens, which is easy to be attacked by the autoimmune system, resulting in shrinkage of the healthy testicle, which in turn seriously affects male sexual function and even infertility. Therefore, both scrotal trauma and open injuries should be aware of the existence of testicular damage and be actively addressed.

B-ultrasound diagnosis of testicular injury can accurately distinguish simple scrotal abscess or testicular rupture, whether the testicular tunica albuginea is fine, and whether the testicular tissue protrudes outside the tunica albuginea, so it can clearly determine whether surgical treatment is necessary. When blood clots have not occurred or the abscess is not large, B-ultrasound is more accurate in distinguishing the testicular condition, so it should be performed within 24 hours after injury.

The scrotal skin is highly elastic, has rich blood circulation, and has good healing ability. In the early stage of open wound treatment, the wound should be completely cleaned and the degraded tissue should be trimmed, and the sutures should be made as far as possible to cover the contents of the scrotum. If it is impossible to cover it, the male testicles and seminal tract can be buried in the subcutaneous tissue at the root of the thigh, and scrotal plastic surgery can be performed after 3 to 6 weeks, or scrotal plastic surgery can be performed immediately after debridement to restore the male testicles to the reshaped scrotum.