Pyocele of scrotum: consequence of spontaneous rupture of testicular abscess.

We report 2 cases of spontaneous rupture of the testis secondary to suppurative epididymo-orchitis. Both cases presented with pyoceles and were treated conservatively by scrotal incision and drainage of the pyoceles. This prolonged hospital stay and increased morbidity, since both patients ultimately required orchiectomy. We believe that a pyocele is an indication for prompt surgical exploration, and if the testis is ruptured, an orchiectomy should be done.