Ver el código de «Pyocele»

==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.<ref>Bruner BI. et al. Scrotal pyocele: Uncommon urologic emergency. J Emerg Trauma Shock. 2012 Apr-Jun; 5(2): 206.</ref>

==Clinical Features==
*Scrotal Pain

==Differential Diagnosis==
{{Testicular DDX}}

==Evaluation==
[[File:Pyocele.jpg|thumb]]
===Workup===
*[[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<ref>Lee C, Henderson SO. Emergency surgical complications of genitourinary infections. Emerg Med Clin N Am. 2003;21:1057–74.</ref>

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

==Management==
*Urology consult for followup and coordination of 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==


==See Also==
*[[Testicular diagnoses]]
*[[Testicular ultrasound]]

==External Links==


==References==
<references/>

[[Category: Urology]]