Causes & Management of Testicular Abscess: Findings of A Study on Eleven Patients

Abstract

Testicular abscess is a rare surgical entity of Zone III of inguinoscrotal region. C Trachomatis and E Coli are the two commonest causative organism worldwide. A total number of eleven cases of testicular abscesses had been reviewed for a period of one and half years. It was seen that, the cases mainly present with complaint of acute scrotum with discharging pus and acute abdomen. Mean age of the patients under study is around 53 yrs. Ultrasonography used for diagnosis. In two third cases epididymoorchitis history was obtained. Regarding growth pattern of pus, it was found that identifying bacterial pathogens are found in seven case where as no growth was found in rest. E coli was found to be the commonest pathogen in culture isolate. One patient of chronic testicular abscess, who was on treatment for pulmonary tuberculosis; pus culture revealed AFB to be causative bacteria. Only a single case of acute testicular abscess was found to have seropositivity for HIV virus, his pus culture was notably negative for any other bacterial pathogen. One out of the 7 cases of acute testicular abscess and 2 of the 4 cases of chronic testicular abscess were found to have type II DM. Orchiectomy and broad spectrum antibiotics were used as mainstay of treatment.