Journal article

Testicular loss following bacterial epididymo-orchitis: Case report and literature review

Sasha Rachel Fehily, Jason Anthony Trubiano, Catriona McLean, Boon Wei Teoh, Jeremy Peter Grummet, Catherine Louise Cherry, Olga Vujovic

Canadian Urological Association Journal | CANADIAN UROLOGICAL ASSOCIATION | Published : 2015


Epididymo-orchitis rarely leads to abscess formation and global testicular infarction/loss, particularly in the setting of appropriate antibiotic therapy. The imaging modality used when monitoring for testicular ischemia is ultrasonography. However, as described in the literature, testicular pathology may not be evident on routine imaging. We describe two cases of recurrent bacterial epididymo-orchitis, complicated by testicular abscess resulting in testicular infarction. This rare, nevertheless significant, complication occurred in both patients despite receiving appropriate extended antibiotic therapy. Both cases demonstrate the limitations of ultrasonography alone, suggesting that a high ..

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