Published Paper Details:

The shopha of prolonged pakwa avastha when ignored, produces a large amount of pus which percolates into the deeper tissues ending in complications like sinus,fistula, Fournier's Gangrene, septicemia, eventually A surgeon has to decide to go orchidectomy for pts survival a Nadi means a tract vruna means an ulcer, so an ulcer which is having a tract is called Nadi vruna.A case study Reports A men of 45 years with an ulcer in the left scrotum having a tract directing to the lower right scrotum which was probed and treated with ksharasutra procedure successfully avoiding the orchidectomy as suggested by the contemporary surgeons. METHODOLOGY Method: A diagnosed case of scrotal ulcer with a non-healing tract is selected on opd and after parts preparation and painting done, A wound debridement was done, A sterile ksharasutra is taken from a cabinet, ksharasutra which is to be tied to a probe eventually changing the ksharasutra weekly till the ksharasutra is cut through. Complete healing occurred within 28 days. RESULT: Complete healing occurred within 28 days. Noting the pus discharge, swelling, pain, and unit index healing. DISCUSSION The commonly adopted surgical techniques in contemporary science for the management of scrotal sinus or fistula is Excision and healing by secondary intentions, excision and primary closure with reconstructive flaps techniques. In this case report as external openings where far away from medial raphe involving both the scrotal region and many ramifications were present the contemporary doctors advised for a total orchidectomy so came to our hospital we planned for kshara and its different modalities like ksharavarti and ksharasutra was adopted .As ksharasutra does both cutting and healing , it was used fir threading between main sinus and an external opening was made manually approximately 6 cm,ksharavarti was kept in other ulcer.