Abstract
We present a case of bilateral testicular rupture with significant extrusion and seminiferous tubule loss in an otherwise healthy 26-year-old male as the result of a car-versus-motorcycle accident. The patient was the lone driver of a motorcycle that was T-boned, resulting in significant scrotal trauma necessitating operative intervention. Because of this, he developed subsequent severe hypogonadism, which improved with exogenous testosterone administration. We undertook a literature review, which revealed that blunt trauma is an extremely uncommon cause of acquired hypogonadism.
Highlights
We present a case of bilateral testicular rupture with significant extrusion and seminiferous tubule loss in an otherwise healthy 26-year-old male as the result of a car-versus-motorcycle accident
The extruded seminiferous tubules were lightly debrided, and tunical defects were suture-closed in the operating room (OR) in a running fashion using 3-0 vicryl
28% of testicular injuries from trauma presented with associated perineal soft tissue injuries
Summary
We present a case of bilateral testicular rupture with significant extrusion and seminiferous tubule loss in an otherwise healthy 26-year-old male as the result of a car-versus-motorcycle accident. The patient was the lone driver of a motorcycle that was T-boned, resulting in significant scrotal trauma necessitating operative intervention. Because of this, he developed subsequent severe hypogonadism, which improved with exogenous testosterone administration. The patient recovered from his urologic injuries uneventfully after an extended hospital stay At his first follow-up appointment one-month post-accident, free- and total-testosterone were noted to be 0.34 ng/dL and 8.6 ng/dL, respectively. He was started on 200mg Depo-testosterone shots every 2 weeks with subsequent normalization of testosterone levels and improvement in energy levels
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