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New Indian Journal of Surgery

Volume  11, Issue 2, April-June 2020, Pages 105-112
 

Original Article

Spectrum of Scrotal Diseases and its Management in A Rural Medical College

Puneet Agrawal

Associate Professor, Department of General Surgery, FH Medical College, Etmadpur, Agra, Uttar Pradesh 283201, India.

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DOI: dx.doi.org/10.21088/nijs.0976.4747.11220.3

Abstract

 

Scrotal complaints are common surgical problems encountered in men for whom patients report in surgical out patients department as well as in emergency department. Scrotum is present at a place which is easily accessible, yet patients suffer for long time before presenting.Objectives: A prospective study was done in department of General Surgery, FH Medical College, Etmadpur, Agra from July’ 2016 to December’ 2019 to know the correct incidence of pathologies affecting the scrotum, their mode of presentation, diagnosis
and the management done for these conditions. Material & Methods: We identified a total of 184 patients who came to us with some scrotal complaints and followed up all patients in pre, peri and postoperative phases. Results: Most of the scrotal diseases were seen in individuals below 30–40 years, which is the most productive earning age for the men. Hydrocele was the commonest condition. The most common
presenting symptom was swelling in the scrotum (n = 153). Other complaints were pain (n = 76), heaviness, fever or absence of testes. Ultrasound of the scrotum was performed on all patients to confirm
the diagnosis. Most common surgical procedure done was eversion of sac. Conclusion: Hydrocele is the most common disease of scrotum for which patients report. They mostly belong to 30–40 years of age group. The presentation is swelling of scrotum. Ultrasound is primary investigation of choice. Eversion of sac was done for all patients with hydrocele. Patients with no significant pathology were reassured and managed conservatively.
Keywords: Scrotal swelling; Scrotal pain; Hydrocele.


Corresponding Author : Puneet Agrawal