Effective Care Tips for Scrotal Skin Abrasions and Infections - Urology

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Management of Scrotal Skin Abrasions


Hello, doctor.
Recently, I have developed a skin abrasion on my scrotum due to friction from my underwear.
The next morning, I noticed that my underwear had pus on it.
I went to the emergency room (there were no outpatient services on Sunday), and after the doctor examined me, he said that the abrasion was caused by friction and that I had a bacterial infection.
He prescribed medication (oral and topical) and allowed me to leave after processing the prescription.
Is there anything I need to be cautious about regarding bathing that could affect the wound? Since I returned home, the area is still very painful, and upon self-examination, I still notice pus discharge.

Kugua Lian, 20~29 year old female. Ask Date: 2023/06/12

Dr. Lin Wenxu reply Urology


Dear Mr.
Bitter Melon,
Please keep the wound dry and monitor for any redness, swelling, or discharge.
If these symptoms worsen, you should return for an earlier follow-up appointment.

Sincerely,
Dr.
Lin Wen-Hsu, Urology Department, Nantou Hospital

Reply Date: 2023/06/12

More Info


When dealing with scrotal skin abrasions and infections, it is crucial to follow proper care guidelines to promote healing and prevent further complications. Here are some effective care tips based on your situation:
1. Keep the Area Clean and Dry: After any injury, maintaining cleanliness is vital. Gently wash the affected area with mild soap and water. Avoid using harsh soaps or scrubs that can irritate the skin further. After washing, pat the area dry with a clean towel instead of rubbing it, which can exacerbate irritation.

2. Use Prescribed Medications: Since you have already seen a doctor and received both oral and topical medications, it is essential to follow the prescribed regimen. The topical antibiotic ointment will help combat the bacterial infection, while oral antibiotics will work systemically to reduce the infection's severity. Ensure you complete the full course of antibiotics as directed, even if symptoms improve before finishing the medication.

3. Avoid Irritation: Since the abrasion is on the scrotum, which is sensitive, it is crucial to avoid any friction or irritation. Wear loose-fitting underwear and pants to minimize rubbing against the affected area. If possible, consider wearing breathable fabrics like cotton to allow air circulation and reduce moisture buildup.

4. Monitor for Signs of Infection: Keep an eye on the wound for any signs of worsening infection, such as increased redness, swelling, warmth, or a change in the discharge (e.g., if it becomes more yellow or green). If you notice these symptoms, or if the pain intensifies, seek medical attention promptly.

5. Bathing Considerations: When it comes to bathing, it is generally advisable to avoid soaking the area in hot water, as this can aggravate the irritation. Instead, take quick showers and avoid prolonged exposure to water. After bathing, ensure the area is thoroughly dried, and reapply any topical medications as directed.

6. Pain Management: If you are experiencing significant pain, over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. However, consult your doctor before taking any new medications, especially if you are already on antibiotics.

7. Avoid Sexual Activity: It is advisable to refrain from sexual activity until the area has healed completely. Engaging in sexual activity can introduce bacteria and further irritate the wound, prolonging the healing process.

8. Follow-Up Care: If the pain persists or if you continue to experience discharge, it is essential to follow up with your healthcare provider. They may need to reassess the wound, possibly perform a culture to identify the specific bacteria involved, and adjust your treatment plan accordingly.

9. Hydration and Nutrition: Ensure you are staying hydrated and consuming a balanced diet rich in vitamins and minerals, particularly vitamin C and zinc, which are known to support skin healing.

In summary, proper care of scrotal skin abrasions involves maintaining cleanliness, using prescribed medications, avoiding irritation, monitoring for signs of infection, and following up with your healthcare provider as needed. By adhering to these guidelines, you can promote healing and minimize the risk of complications.

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