Salvaging Left Testicular Fracture After a Motorcycle Accident: A Case Report

Hamzah, Rostam Affendi; Mohamad, Faris; Mallhi, Tauqeer Hussain; Rahman, Mohamad Nor Gohar; Khan, Yusra Habib; Khan, Amer Hayat; Adnan, Azreen Syazril; Khan, Omaid Hayat

doi:10.2174/1874303x01710010059

Cited by 1 publication

(2 citation statements)

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“…In general, the faster the treatment (within 72 hours), the greater the chance of saving the testicle [1]. A growing body of evidence supports the legitimacy of early surgical intervention, with higher salvage rates and lower orchiectomy risks [15]. In our observation, the delay was greater than one week; integrity of the vascular pedicle and partial testicular rupture were the determining factors in good prognosis.…”

Section: Discussionmentioning

confidence: 54%

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Scrotal Trauma in a Motorcycle Accident Leading to a Partial Orchidectomy: Case Report

Traore,

Kapseu,

Dikongue

2023

OJU

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Scrotal trauma in motorcycle accidents (STMA) is a rare entity in the literature. In general, trauma to the genitals is not life-threatening. However, STMA can cause rupture of the testis with consequences that can lead to alteration of sexuality and reproduction. We present an STMA case managed in a rural hospital where various types of injuries arise from motorcycle accidents. A 20-year-old man without any previous pathology presented in our hospital with a swollen painful scrotum. One week prior to presentation, the patient with a speeding motorbike drove over a speed bump, and the frame of his motorcycle broke into two halves, violently striking his genitals and causing scrotal trauma. After examination and investigation, patient has consented to scrotal exploration which was carried out. A partial left orchidectomy was performed and the right testicle was healthy. The evolution was favorable and the patient was discharged on the 5th postoperative day. Prognosis at 6 months was good. It is possible that genital trauma related to motorcycle accidents will become more frequent in the future. This underscores the importance of educating motorcyclists to respect the Highway Code; and making practitioners aware of the risk of serious injury in the event of acute scrotal trauma.

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Section: Discussionmentioning

confidence: 54%

“…and that surgical exploration should be performed if a haematocele is found in the genital examination without any ultrasound complement [15]. However, in view of the time that had elapsed, we requested an ultrasound scan of the scrotum in order to make a preoperative assessment of any lesions.…”

Section: Discussionmentioning

confidence: 99%