Surgical site infection of scrotal and inguinal lesions after urologic surgery.
To clarify the incidence of surgical site infection (SSI) after urological scrotal and inguinal surgical procedures and the preventive effect of antimicrobial prophylaxis for SSI, retrospective analysis was performed. The patients who underwent scrotal and inguinal operations from 2001 to 2010 were included in this analysis. A first or second generation cephalosporin was administered as antimicrobial prophylaxis just before the start of surgery and no additional prophylaxis was conducted. The surgery was classified into 76 (38%) cases with testicular sperm extraction (TESE), 72 (36%) with radical orchiectomy, 29 (14.5%) with bilateral orchiectomy (surgical castration) and 23 (11.5%) with other scrotal and inguinal operations. The median age and age range were 36 years and 18-81 years, respectively. SSI occurred in 7 (3.5%) cases. The frequencies of SSI were 6.5% in the patients with urological inguinal surgery and 1.6% in those with scrotal surgery. The frequency of SSI in the patients with urological inguinal surgery was not negligible even though it is considered a clean operation, and further analysis is warranted to prevent SSI.
Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Teruhisa
T
Uehara
Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan. Electronic address: stakahas@sapmed.ac.jp.
Satoshi
S
Takahashi
Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Kohji
K
Ichihara
Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Yoshiki
Y
Hiyama
Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Jiro
J
Hashimoto
Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Yuichiro
Y
Kurimura
Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Naoya
N
Masumori
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D005832:Genital Diseases, Male / Q000453:epidemiology* / Q000601:surgery; D006801:Humans; D007264:Inguinal Canal / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012611:Scrotum / Q000601:surgery*; D013530:Surgical Wound Infection / Q000453:epidemiology*; D013521:Urologic Surgical Procedures, Male / Q000009:adverse effects / Q000706:statistics & numerical data*; D055815:Young Adult
Inguinal lesion; Orchiectomy; Scrotum; Surgical site infection; Urology