Dissection of the furuncle of the external genitalia under local anesthesia

A boil on the external genitalia is a painful and serious condition that requires medical intervention. At the "Dobrobut" medical network, experienced doctors conduct comprehensive examinations to understand the causes of its occurrence, especially in cases of recurrent pathology. Based on diagnostic results, the optimal treatment and prevention method is chosen.

A boil is a deep inflammatory process associated with an infection of a hair follicle, typically caused by Staphylococcus aureus. This leads to the formation of a painful, pus-filled lump under the skin. A boil in the area of the external genitalia can cause significant discomfort and potential complications if not treated promptly.

Causes and Symptoms of a Boil

Boils are often caused by bacterial infections, primarily Staphylococcus aureus. Risk factors include poor hygiene, weakened immune system, friction from tight clothing, exacerbation of skin diseases, diabetes, inadequate nutrition.

Symptoms of a Boil on the External Genitalia:

• a red, swollen lump in the genital area;
• increased pain around the affected area;
• discharge of pus or other drainage;
• fever (in severe cases);
• enlargement of nearby lymph nodes.

Signs of worsening condition include persistent pain and severe swelling, the appearance of multiple boils, no improvements with self-care, spreading of infection (increased redness or streaks). Such manifestations require immediate medical attention.

Diagnosis and Treatment

To diagnose a boil, the doctor will perform a physical examination, take a pus sample to identify the type of bacteria causing the infection, and determine its sensitivity to antibiotics.

Treatment for a boil can be conservative or surgical.

Conservative treatment options include topical antibiotics, warm compresses to promote pus drainage, and improved hygiene practices. If these measures are ineffective, or if the boil is particularly large or painful, surgical intervention may be necessary.

Indications and Contraindications for Incising a Boil on the External Genitalia

Indications:

• Severe pain or discomfort.
• Presence of a large, pus-filled boil.
• Signs of a systemic infection.
• Lack of response to conservative treatments.

Contraindications:

• Small, uncomplicated boils that may resolve with conservative treatment.
• Patients with blood clotting disorders.
• Severe infection requiring systemic antibiotic therapy before surgical intervention.

How the Procedure Is Conducted

The procedure for incising a boil includes the following steps:

1. Preparation: Cleaning the affected area and applying local anesthesia.
2. Incision: Making a small cut on the boil to allow pus to drain.
3. Drainage: Carefully draining the pus and cleaning the area.
4. Postoperative Care: Covering the wound with a sterile dressing and providing care instructions.

Rehabilitation Period

For successful recovery after a boil incision, it is important to follow doctor’s instructions:

• Keep the affected area clean and dry.
• Change dressings regularly.
• Monitor for signs of infection.
• Take antibiotics as prescribed by the doctor to prevent secondary infection.
• Visit the doctor for follow-up care.

Complications and Prevention

While generally safe, the procedure might lead to complications such as scarring, boil recurrence, infection spread, or secondary infection.

Prevention of boils on the external genitalia includes:

• Personal hygiene.
• Wearing loose clothing to reduce friction.
• Treating chronic conditions.
• Strengthening the immune system.
• Balanced nutrition.
• Using personal hygiene items (towels, razors) individually.

Timely diagnosis and treatment, along with adherence to prevention recommendations, can effectively manage boils and prevent recurrence of this painful condition.