Neglected Traumatic Dislocation of the Testis and Successful Orchidopexy. A Case Report

Muzafr Shakir Ali Yousif; Ahmed Shakir Ali Yousif; Ismail Gareeballah Alhag Mohamad

Authors

Muzafr Shakir Ali Yousif Gezira Hospital for Renal Diseases and Surgery https://orcid.org/0000-0002-0189-6051
Ahmed Shakir Ali Yousif Gezira Hospital for Renal Diseases and Surgery
Ismail Gareeballah Alhag Mohamad Gezira Hospital for Renal Diseases and Surgery

Abstract

Background: Neglected traumatic dislocation of the testis (TDT)) is an infrequently documented condition, characterized by prolonged misplacement of the testis following trauma, often leading to complications such as infertility, chronic pain, and an elevated risk of malignancy. This case report delves into the complexities surrounding the neglect of this rare complication and its impact on testicular health.
Case presentation: A 29-year-old male bricklayer presented with an empty left scrotum, a result of trauma three years prior. Concerned about fertility, he underwent an examination revealing an undescended left testis. Despite normal hormone levels and semen analysis, he opted for surgical intervention. A left inguinal exploration and orchidopexy successfully placed the testis in the scrotum. Postoperatively, the patient recovered well, reporting no issues, and was advised to repeat semen analysis after three months.
Conclusion: This case highlights the successful diagnosis and management of an acquired undescended left testis secondary to trauma. Surgical intervention through left inguinal exploration and orchidopexy proved effective, resulting in a well-positioned and functional left testis.

Keywords: Neglected Traumatic Dislocation of the Testis, Orchidopexy, Testicular Complications, Case Report, Long-term effects.

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