Subcapsular orchiectomy following testicular trauma

Area of Science:

• Urology
• Trauma Surgery
• Surgical Innovation

Background:

• Traumatic testicular rupture often necessitates surgical intervention.
• Standard treatments may include testicular repair or orchiectomy (testicle removal).
• Prosthetic testicular implants are sometimes used, but carry associated risks and controversies.

Observation:

• A case of traumatic testicular rupture is presented.
• The patient opted against a silicone prosthesis due to current controversies.
• Subcapsular orchiectomy was performed as an alternative surgical management.

Findings:

• This represents the first reported case of subcapsular orchiectomy for traumatic testicular rupture.
• The procedure was successfully performed without immediate complications.
• This technique offers a potential alternative to prosthetic implantation.

Implications:

• Subcapsular orchiectomy may be a viable option for managing traumatic testicular rupture, particularly when patients decline prosthetic devices.
• Further research is warranted to evaluate the long-term outcomes and efficacy of this technique.
• This case highlights the need for diverse surgical strategies in managing testicular trauma.