Effect of Jidabokuippo, a Japanese Traditional Medicine for Scrotal Swelling, on Children Who Underwent Orchiopexy

Abstract

Jidabokuippo (JDI) is a Japanese traditional medicine used for contusion-induced swelling and pain. In recent years, it has been reported to be used for postoperative swelling and hematoma. We report the effect and usage of JDI in treating scrotal swelling after orchiopexy. We examined 25 patients who underwent orchiopexy and were prescribed JDI in our department from June 2017 to December 2019. The median age at surgery was 2 years (range: 0 years 7 months to 13 years), the median weight was 10 kg (range: 7.6 to 53 kg), and the median administration period was 7 days (range: 6 to 56 days). The prescribed dose of this drug was 0.2 to 0.3 g/kg body weight/day. The outpatient doctor in charge assessed and categorized the swelling of the scrotum into one of three stages (A, scrotum and spermatic cord swelling improved; B, scrotum swelling improved and only spermatic cord thickening remained; C, swelling of both the scrotum and spermatic cord remained). The degree of improvement in the swelling was observed to be as follows: A, 15 cases (60%); B, 7 cases (28%); and C, 3 cases (12%). From the experience in our department, the administration of JDI improves postoperative scrotal swelling with subcutaneous hematoma.