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Case Reports
. 2007 Jul;23(3):323-5.
doi: 10.4103/0970-1591.33736.

Testicular ischemia following mesh hernia repair and acute prostatitis

Pepe Pietro  1 , Aragona Francesco
Affiliations
Case Reports

Testicular ischemia following mesh hernia repair and acute prostatitis

Pepe Pietro et al. Indian J Urol. 2007 Jul.

Abstract

We present a case of a man admitted to our Hospital for right acute scrotum that six months before had undergone a right hernioplasty with mesh implantation. Clinical history and testicular color Doppler sonography (CDS) patterns suggested an orchiepididymitis following acute prostatitis. After 48h the clinical picture worsened and testicular CDS showed a decreased telediastolic velocity that suggested testicular ischemia. The patient underwent surgical exploration: spermatic cord appeared stretched by an inflammatory tissue in absence of torsion and releasing of spermatic cord was performed.In patients with genitourinary infection who previously underwent inguinal mesh implantation, testicular CDS follow-up is mandatory.

Keywords: Acute scrotum; inguinal hernia repair; prostatitis; testicular ischemia.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Absence of TDV on intratesticular artery
Figure 2a
Figure 2a
Before surgery: Spiral course of spermatic cord in presence of a high SPV
Figure 2b
Figure 2b
After surgery: Spermatic cord has a linear course with normal CDS parameters
See this image and copyright information in PMC

References

    1. Akin EA, Khati NJ, Hill MC. Ultrasound of the scrotum. Ultrasound Q. 2004;20:181–200. - PubMed
    1. Peiper C, Junge K, Klinge U, Strehlau E, Ottinger A, Schumpelick V. Is there a risk of infertility after inguinal mesh repair? Experimental studies in the pig and the rabbit. Hernia. 2006;10:7–12. - PubMed
    1. Pepe P, Panella P, Pennisi M, Aragona F. Does color-Doppler sonography improve the clinical assessment of patients with acute scrotum? Eur J Radiol. 2006;60:120–4. - PubMed
    1. Holloway BJ, Belcher HE, Letourneau JG, Kunberger LE. Scrotal sonography: A valuable tool in the evaluation of complications following inguinal hernia repair. J Clin Ultrasound. 1998;26:341–4. - PubMed
    1. Bird K, Rosenfield AT. Testicular infarction secondary to acute inflammatory disease: Demonstration by B-scan ultrasound. Radiology. 1984;152:785–8. - PubMed

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