Case report of bilateral testicular infarction due to severe bilateral epididymo-orchitis: A catastrophic complication causing castration

Abstract

Highlights A rare case of bilateral epididymo-orchitis complicated with bilateral testicular infarction. Presentation was fever with persistent, unresolved pain and scrotal swelling. Antibiotic therapy failed to halt disease progression of bilateral testicular ischemia. Bilateral orchidectomy performed as both testes were not viable, resulting in castration and lifelong testosterone replacement.