Testicular Ischemia and Infarction Following Herniorrhaphy or Varicocelectomy: Evaluation by Radionuclide Imaging

Segmental Testicular Infarction following Herniorrhaphy and Varicocelectomy

“…Testicular lesions are an uncommon but well-recognized complication of inguinal hernia repair in terms of atrophy [10] and testicular ischemia and infarction [11] . The cause of the infarct seems to be either thrombosis or compression by edema of the veins draining the testis [12] .…”

Benign Testicular Lobulation

“…Experimental studies in rats have shown that even a manipulation of the prepubertal spermatic cord without herniorrhaphy may result in "a small but statistically significant morphological change in testicular size but without a deleterious effect on testicular development, fertility, or fecundity." 6 Herniorrhaphy in humans has been shown to possibly result in testicular ischemia and infarction, 7 atrophy, and neuropathy. 8,9 In our patient, it is possible that the lobulation may have resulted from scarring related to the bilateral surgery.…”

Usefulness of Tc-99m Pertechnetate SPECT/CT in the Diagnosis of Testicular Infarction After Inguinal Herniorrhaphy

“…Global and segmental testicular infarctions are recognized consequences of torsion of the spermatic cord, incarcerated hernia, infection, trauma, vasculitis, sickle cell disease, hypercoagulable states, and inguinal hernia repair [1][2][3][4]. Although ultrasound is the imaging modality of choice for the evaluation of acute scrotal pain,testicularscintigraphyhasproventobereliableandaccuratein reflecting acute testicular ischemia as well as chronic ischemia and infarction [5][6][7]. Tc-99m pertechnetate testicular SPECT/CTstudy generally would not be performed in emergency situations.…”