How should scrotitis be treated?

Scrotitis is mainly caused by bacterial infection. This disease can be transmitted through sexual intercourse, and the inflammatory bacteria can be transmitted to the spouse, causing gynecological diseases to the spouse and endangering the spouse's physical health. Therefore, how to treat scrotitis has become a concern for many male patients. Let's take a detailed look at the treatment methods for scrotitis so that everyone can find an effective treatment method that belongs to them.

Early and timely local wide scrotal excision is the first choice of treatment. The excision range should reach the whole layer of scrotal wall beyond 2 cm of normal skin around the tumor lesion visible to the naked eye, including the epidermis, dermis and even the wall layer of the testicular tunica vaginalis. If the deep tissue is invaded, the testicular spermatic cord should be removed together. When the excision range is too large, adjacent skin flap shaping and scrotal reconstruction can be performed. Recently, there are reports that in order to completely remove the lesion, intraoperative frozen biopsy or intraoperative rapid carcinoembryonic antigen staining can be used to determine the extent of excision.

Enlarged inguinal lymph nodes are often caused by inflammation, not necessarily metastasis, so preventive removal is not required. Just like the treatment of penile cancer, anti-infection treatment should be given at the beginning of treatment. After the lesion is removed, those with negative lymph node biopsy should continue anti-infection treatment. If there is still doubt, biopsy should be performed again. Only those with positive biopsy should undergo lymph node removal, and the ipsilateral testis and spermatic cord should be removed at the same time. The removal should be performed 2 to 3 weeks after the primary lesion is removed, which can reduce the occurrence of incision infection, skin flap necrosis and lymphatic fistula.

Radiotherapy and chemotherapy are not sensitive to inflammatory carcinoma of the scrotum, so the effects of using radiotherapy, chemotherapy and local bleomycin, fluorouracil, etc. alone are not good. However, if the tumor is deeply infiltrated and the resection is not thorough, and there is metastasis, it can be used before and after surgery to enhance the efficacy, reduce recurrence and control metastasis. There are also reports that cyclophosphamide, daunorubicin, cisplatin and methotrexate (methotrexate) combined with chemotherapy and radiotherapy have achieved certain results in patients with advanced palliative or complicated adenocarcinoma.

Long-term untreated scrotitis can lead to a decline in male sexual function, or even complete loss of sexual function, which brings inconvenience to the lives of couples and destroys family harmony. Therefore, scrotitis should be treated early. Not only will other complications occur, but it will also affect the health of your partner. You should be responsible for the health of yourself and your family.