And Scrotum This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 17. Genitourinary Disorders Chapter 219.
Some abscesses drain spontaneously, but most require surgery, usually orchiectomy with drainage.
Urethral stricture and diverticulum may be accompanied by abscess formation with swelling of the scrotum, pain, and erythema and extravasation of urine into the scrotum and perineum. Incision and drainage as well as antibiotics are often indicated, but urinary diversion by suprapubic cystostomy is needed only in severe cases with abscess. In difficult or recurrent cases, a permanent stent may be placed endoscopically. Open surgery is occasionally indicated. Usually, it appears as a painless scrotal swelling that can be transilluminated.