Bilateral epididymal injury following trauma: An uncommon cause of obstructive infertility

Scrotal trauma, though uncommon, can rarely result in isolated epididymal injury, as seen in a rare case of bilateral epididymal injury leading to obstructive infertility in a 23-year-old male who sustained blunt scrotal trauma. Doppler ultrasound revealed bilateral hematocele and epididymal discont...

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Bibliographic Details
Main Authors: Ahmed Ibrahimi, Adam El Aboudi, Salim Ouskri, Hamza El Abidi, Imad Boualaoui, El Sayegh Hachem, Nouini Yassine
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025001160
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Summary:Scrotal trauma, though uncommon, can rarely result in isolated epididymal injury, as seen in a rare case of bilateral epididymal injury leading to obstructive infertility in a 23-year-old male who sustained blunt scrotal trauma. Doppler ultrasound revealed bilateral hematocele and epididymal discontinuity, which was confirmed by surgical exploration showing bilateral epididymal lacerations. Postoperative semen analysis indicated azoospermia. Isolated epididymal injuries are rarely diagnosed early, emphasizing the importance of thorough imaging and consideration of fertility preservation. Urologists should consider early sperm preservation in cases with a high risk of infertility.
ISSN:2214-4420