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Updated: Jun 12, 2026
03:19
Transcutaneous Neuromuscular Electrical Stimulation for Treating Varicocele-Induced Scrotal Pain
Published on: August 30, 2024
Acute scrotal pain with a twist
S Venugopal1, D Schoeman, A Damola
1Department of Urology, Countess of Chester NHS Trust, Chester, UK. sureshvenugopal@gmail.com
Annals of the Royal College of Surgeons of England
|June 10, 2010
Summary
Segmental testicular infarction, often mistaken for tumors on ultrasound, can occur in patients with peripheral vascular disease. Conservative management may be appropriate once confirmed, avoiding unnecessary orchidectomy.
Area of Science:
- Urology
- Vascular Surgery
Background:
- Intratesticular lesions on ultrasound typically raise concern for malignancy, complicating surgical decisions regarding conservative management.
- Peripheral vascular disease (PVD) poses a diagnostic challenge when presenting with testicular lesions.
Observation:
- A 55-year-old male smoker with PVD presented with acute hemiscrotal pain and a testicular lesion on ultrasound.
- Initial ultrasound findings suggested infarction, leading to conservative management.
- Persistent symptoms and lesion stability on follow-up ultrasound raised suspicion for malignancy, despite normal tumor markers.
Findings:
- Histopathology after radical orchidectomy revealed segmental infarction of the testis with associated vascular thrombosis.
- Peripheral vascular disease is identified as a potential cause of segmental testicular infarction due to end-arterial supply.
Implications:
- Magnetic resonance imaging (MRI) can aid in diagnosing segmental testicular infarction in PVD patients.
- Confirmed segmental infarcts of the testis can be managed conservatively, preventing radical surgery.
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