Management of Scrotal ITD Using a Textile Fabric

Introduction

Moisture Associated Skin Damage (MASD) in the form of Intertriginous dermatitis (ITD) can occur anywhere in the body that two skin surfaces make contact (Doughty, D. & McNichol, L 2016).  Many hospitalized male patients experience ITD in the groin, inner thighs, and scrotum. 

Scrotal edema can be related to various causes such as heart failure, liver failure, venous and lymphatic obstruction, and surgery or trauma.  These conditions result in backflow and accumulation of edema in the legs and scrotum (Reid, T.).   They are frequently accompanied by weeping edema and episodic perspiration contributing to the microclimate.  

Purpose

To develop a method for best practice to manage MASD/ITD in the skin surfaces of the scrotum, inner thighs, and groin using a moisture wicking textile fabric infused with silver. 

Methods

Product Application

1.  Cleanse with a Ph Balanced No Rinse Moisture Barrier Cloth. 
2. Pat dry.
3. With clean scissors cut enough fabric to go underneath scrotum and extend throughout BL groin and be tucked behind back.
4. Lay a single layer of fabric centered under the posterior aspect of the scrotum and extend out through the groin and inguinal skin folds, placing one edge into the base of the fold.
5. Gently smooth the rest of the fabric over the skin, keeping it flat.
6. Lift the scrotum in the fabric from between the thighs and secure the fabric by tucking under sides or behind back.
7. Remove the fabric before bathing and reuse it when finished.  When removing, gently separate the skin folds and lift away.  Change every 72 hours.

Results

Results for treatment of scrotum, inner thighs, and groin application for MASD/ITD with Candida infection saw a reduction of maceration, linear erosion, erythema, and satellite lesions.  Additionally, patients reported a relief of symptoms from pain, burning, and itching.