Preserving Fertility After Bilateral Testicular Gunshot Injury: A Case Report

Penetrating scrotal trauma from gunshot injuries is rare but can severely impact fertility and endocrine function. We report a 32-year-old male with bilateral testicular injury managed with left partial orchiectomy and right testicular repair. Viable tissue was preserved without grafts, and perfusion was confirmed intraoperatively. Postoperative recovery was uneventful, with Doppler ultrasonography showing bilateral viability. Initial severe asthenozoospermia improved markedly over 2 years. This case underscores the potential for testicular salvage and fertility preservation in severe bilateral injuries, highlighting the value of prompt, tailored surgical intervention.