Pyocele - Revision history

Ostermayer: /* Disposition */

2022-10-29T04:23:39Z

Disposition

← Older revision		Revision as of 04:23, 29 October 2022
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	==Disposition==		==Disposition==
			*Close outpatient follow for resolution after antibiotics.
			*Admission only waranted in settings of [[sepsis]] or [[Fournier gangrene]]

	==See Also==		==See Also==

2022-10-29T04:21:55Z

Clinical Features

2022-10-29T04:20:40Z

Clinical Features

2022-10-29T03:08:56Z

Workup

← Older revision		Revision as of 03:08, 29 October 2022
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	===Workup===		===Workup===
	*[[Testicular ultrasound]] - will reveal characteristic debris and septations within an existing hydrocele		*[[Testicular ultrasound]] - will reveal characteristic debris and septations within an existing hydrocele
	*CT imaging of the abdomen and pelvis with IV contrast is only needed if associated [[Fournier gangrene]] is suspected		*CT imaging of the abdomen and pelvis with IV contrast is only needed if associated [[Fournier gangrene]] is suspected<ref>Lee C, Henderson SO. Emergency surgical complications of genitourinary infections. Emerg Med Clin N Am. 2003;21:1057–74.</ref>

	===Diagnosis===		===Diagnosis===

2022-10-29T03:08:23Z

Background

← Older revision		Revision as of 03:08, 29 October 2022
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	==Background==		==Background==
	A purulent collection of fluid surrounding the testicle (in the potential space of the tunica vaginalis). Characteristically it contains significant debris and septations unlike a hydrocele.		A purulent collection of fluid surrounding the testicle (in the potential space of the tunica vaginalis). Characteristically it contains significant debris and septations unlike a hydrocele.<ref>Bruner BI. et al. Scrotal pyocele: Uncommon urologic emergency. J Emerg Trauma Shock. 2012 Apr-Jun; 5(2): 206.</ref>

	==Clinical Features==		==Clinical Features==

2022-10-29T03:05:59Z

Management

← Older revision		Revision as of 03:05, 29 October 2022
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	*Urology consult for followup and coordination of surgical drainage		*Urology consult for followup and coordination of surgical drainage
	**Most can have a trial of oral antibiotics outpatient prior to surgical drainage		**Most can have a trial of oral antibiotics outpatient prior to surgical drainage
			*[[Ciprofloxacin]] 500mg PO twice daily x 10 days or [[Cefpodoxime]] 200mg PO twice daily x 10 days

	==Disposition==		==Disposition==

2022-10-29T03:01:48Z

Management

← Older revision		Revision as of 03:01, 29 October 2022
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	==Management==		==Management==
	*Urology ~~consuslt~~ for surgical drainage		*Urology consult for followup and coordination of surgical drainage
			**Most can have a trial of oral antibiotics outpatient prior to surgical drainage

	==Disposition==		==Disposition==

2022-10-29T02:59:39Z

Workup

← Older revision		Revision as of 02:59, 29 October 2022
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	===Workup===		===Workup===
	*[[Testicular ultrasound]] - will reveal characteristic debris and septations within an existing hydrocele		*[[Testicular ultrasound]] - will reveal characteristic debris and septations within an existing hydrocele
	*CT imaging of the abdomen and pelvis with IV contrast is only needed if associated [[Fournier gangrene]] is suspected		*CT imaging of the abdomen and pelvis with IV contrast is only needed if associated [[Fournier gangrene]] is suspected

	===Diagnosis===		===Diagnosis===
	*Diagnosis will be made by [[testicular ultrasound]]		*Diagnosis will be made by [[testicular ultrasound]]

2022-10-29T02:54:26Z

References

2022-10-29T02:42:42Z

Diagnosis

← Older revision		Revision as of 02:42, 29 October 2022
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	*CT imaging of the abdomen and pelvis with IV contrast is only needed if associated [[Fournier gangrene]] is suspected		*CT imaging of the abdomen and pelvis with IV contrast is only needed if associated [[Fournier gangrene]] is suspected
	===Diagnosis===		===Diagnosis===
			*Diagnosis will be made by [[testicular ultrasound]]

	==Management==		==Management==