Name of the Procedure:

Resection of Scrotum
Common name(s): Scrotal Resection
Technical term: Scrotal Debridement

Summary

A resection of the scrotum is a surgical procedure where part of the scrotal tissue is removed. This is typically done to treat infections, tumors, or other abnormalities in the scrotal region.

Purpose

Medical Condition or Problem It Addresses:

• Treatment of infections (e.g., Fournier’s gangrene)
• Removal of benign or malignant tumors
• Correction of scrotal abnormalities or chronic conditions

Goals or Expected Outcomes:

• Elimination of diseased or damaged tissue
• Prevention of the spread of infection
• Restoration of normal scrotal anatomy and function

Indications

Specific Symptoms or Conditions:

• Severe scrotal infection or abscess
• Presence of tumors or masses in the scrotal area
• Chronic scrotal pain or swelling unresponsive to other treatments

Patient Criteria:

• Failure of non-surgical management
• Presence of necrotic or malignant tissue
• Suitable overall health for undergoing surgery

Preparation

Pre-procedure Instructions:

• Fasting for 8-12 hours before the procedure
• Medication adjustments, including cessation of blood thinners
• Avoidance of alcohol and smoking
• Confirmation of consent and understanding of the procedure

Diagnostic Tests or Assessments:

• Blood tests and urinalysis
• Imaging studies, such as ultrasound or CT scans
• Preoperative physical examination

Procedure Description

Step-by-Step Explanation:

1. Anesthesia: General or spinal anesthesia is administered to ensure patient comfort.
2. Incision: A surgical incision is made in the scrotum to access the affected area.
3. Resection: Diseased or damaged tissue is carefully removed using surgical instruments.
4. Closure: The remaining healthy tissue is sutured together, and drains may be placed if necessary.
5. Dressing: The area is cleaned, and a sterile dressing is applied.

Tools, Equipment, or Technology Used:

• Scalpels, scissors, and forceps
• Electrocautery devices
• Surgical drains

Anesthesia or Sedation Details:

• General anesthesia or spinal anesthesia depending on patient and case specifics

Duration

The procedure typically takes 1 to 2 hours, depending on the complexity of the case.

Setting

Performed in a hospital operating room or a specialized surgical center.

Personnel

• Surgeon (typically a urologist)
• Surgical nurses
• Anesthesiologist
• Operating room technician

Risks and Complications

Common Risks:

• Bleeding
• Infection
• Scrotal swelling
• Pain at the incision site

Rare Risks:

• Blood clots
• Damage to surrounding structures
• Anesthesia complications

Possible Complications:

• Needing additional surgery
• Chronic pain or discomfort
• Scarring or cosmetic issues

Benefits

• Removal of diseased tissue leads to resolution of the underlying condition.
• Prevention of infection spread and further complications.
• Restoration of normal scrotal appearance and function.

Recovery

Post-procedure Care:

• Pain management with medications
• Keeping the surgical site clean and dry
• Monitoring for signs of infection or complications

Expected Recovery Time:

• Initial recovery in 1-2 weeks
• Full recovery may take several weeks to a few months, depending on the complexity of the surgery and individual healing rates.

Restrictions and Follow-up:

• Avoid strenuous activities and heavy lifting.
• Wear supportive underwear.
• Follow-up appointments for wound check and suture removal if needed.

Alternatives

Other Treatment Options:

• Antibiotic therapy for infections
• Cryotherapy or radiotherapy for certain tumors
• Observation and monitoring for non-critical conditions

Pros and Cons of Alternatives:

• Antibiotics: Non-invasive but may not be effective for severe infections.
• Cryotherapy/Radiotherapy: Less invasive than surgery but might not be suitable for all types of tumors.
• Observation: Low risk but might delay necessary treatment.

Patient Experience

During the Procedure:

• No pain should be felt during the procedure due to anesthesia.
• Possible awareness of the surgical environment if under spinal anesthesia.

After the Procedure:

• Some discomfort and pain managed with medication.
• Sensation of tightness or swelling in the scrotal area.
• Instructions on wound care and activity restrictions will be provided to ensure a smooth recovery.