Scrotal ablation

Vetstream Canis ISSN: 1757-8256 Canis logo

This article is available in full to registered subscribers

Sign up now for a 10 day trial or log in

Introduction

  • Scrotal ablation means complete removal of the scrotum. Since the scrotum covers the gonads in intact animals, orchidectomy is also performed with scrotal ablation.
    Obtain owner consent for castration before this procedure is contemplated.

Uses

  • Severe trauma and devitalization of the scrotum.
  • Scrotal mast cell tumourFig.1 Scrotal mast cell tumour
    Scrotal neoplasia (Fig. 1).
  • Scrotal abscess.
  • Old dogs with pendulous scrotums.
  • Scrotal urethrostomy.
  • Feline perineal urethrostomy.
  • Scrotal hematomaFig.2 Scrotal hematoma
    Severe scrotal hematoma after routine castration (Fig. 2).
  • Testicular disease (orchitis , neoplasia ) extending into scrotal tissue.

Advantages

  • Simple.
  • Quick.
  • Relatively complication-free.

Disadvantages

  • In intact animals, orchidectomy [Castration] also required.
  • Common mistake made during this procedure is excessively wide elliptical excision of scrotum causing difficulty in wound closure .
  • Plan elliptical skin incision carefully so enough skin remains for tension-free closure.
  • Penis and urethra are located within wound just deep to scrotal septum and tunics.
    Care to avoid incorporating these structures during wound closure.

Requirements

Materials required

Minimum equipment

Ideal equipment

  • None.

Minimum consumables

  • Draping material for aseptic field.
  • #10 or #15 BP scalpel blade.
  • 3-0 or 4-0 absorbable suture for ligation and subcutaneous closure.
  • 4-0 monofilament nonabsorbable suture for skin closure.

Ideal consumables

  • None.

Other requirements

  • None

Preparation

  • <10 minutes.

Outcomes

Complications

  • If scrotal and deeper tissues are grossly contaminated or infected, do not attempt wound closure and allow tissues to heal by second intention. Also consider routine local wound cleaning and antibiotics.
  • Treat minor hematoma or seroma formation with strict cage rest. Large fluid accumulations may require opening part of incision to allow for ventral drainage.

Prognosis

  • Procedure usually successful with minimal complications.
Sorry, we couldn't find that content.
Let us know and we'll sort this out.