Scrotal abscess

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  • Must differentiate scrotal wall abscess versus intrascrotal organ involvement

Differential Diagnosis

Testicular Diagnoses

Skin and Soft Tissue Infection




  • Simple hair follicle scrotal wall abscess
    • I+D
    • Be sure to palpate for the spermatic cord, urethra, and ipsilateral testicle. If possible, sweep these structures out of the way
    • If you feel unable to isolate the above structures from the abscess site, it may be safest to consult urology
    • Antibiotics rarely needed (unless signs of cellulitis, systemic involvement and/or immunosuppressed)
  • Intrascrotal organ involvement
    • Urology consult

See Also