Preserving Fertility After Bilateral Testicular Gunshot Injury: A Case Report

Area of Science:

• Urology
• Trauma Surgery

Background:

• Penetrating scrotal trauma, particularly from gunshot wounds, is uncommon.
• Such injuries pose significant risks to male fertility and endocrine function.

Purpose of the Study:

• To report a case of severe bilateral testicular injury due to gunshot trauma.
• To highlight the successful management and outcomes of testicular salvage and fertility preservation.

Main Methods:

• Management of a 32-year-old male with bilateral testicular injury.
• Surgical intervention included left partial orchiectomy and right testicular repair.
• Intraoperative assessment of tissue viability and perfusion, followed by postoperative Doppler ultrasonography.

Main Results:

• Successful preservation of viable testicular tissue without grafts.
• Uneventful postoperative recovery with confirmed bilateral testicular viability.
• Significant improvement in severe asthenozoospermia over a 2-year follow-up period.

Conclusions:

• Testicular salvage and fertility preservation are achievable even in severe bilateral scrotal trauma.
• Prompt and tailored surgical intervention is crucial for optimizing outcomes.
• This case emphasizes the importance of reconstructive surgery in maintaining reproductive potential after severe testicular injury.