Operative management of chronic hidradenitis suppurativa of the scrotum and perineum.

Hidradenitis suppurativa of the perineum and scrotum is a progressive disease and, if left untreated, may require a radical operation for its control, including orchiectomy and skin grafting. Five patients with this disease who had failed to respond to antibiotics, and incision and drainage were treated with excision of the involved scrotal and perineal tissue. Healing was promtp and contractures were minimal. Early operative management of this chronic disease is encouraged.