[Rebuilding of scrotum in gangrene].

OBJECTIVE

To study diagnosis, treatment and rebuilding of scrotum gangrene.

METHODS

From January 1992 to September 2004, 15 patients with scrotum gangrene were treated and their clinical data were analysed. Their ages ranged from 23 to 80 years. The results of bacterial culture were positive for wound sample in 14 cases and for blood in 1 case. All the patients underwent surgical treatment including incision, aggressive debridement, drainage, irrigation and antibiotic therapy. Two patients accepted hyperbaric oxygen therapy. All the patients received scrotum rebuilding by transfer of skin flap, skin grafting and saturation and orchiectomy was given in 2 elder patients.

RESULTS

All the patients received healing by first intention after 21 to 34 days. There was no death. After a follow-up of 1 to 3 years, the appearance of scrotum was satisfactory and no orchiatrophy occurred. Thirteen patients with testicles had normal sexual function.

CONCLUSION

After a definite diagnosis, early aggressive debridement, broad-spectrum antibiotics and sufficient local drainage should be used. If available, hyperbaric oxygen therapy may be used to promote healing of tissue wound. Scrotum should be rebuilt based on different conditions.