Hai was admitted to Tam Anh General Hospital in Ho Chi Minh City after experiencing a continuous high fever for three days and severe pain in his groin area. Ultrasound results indicated inflammation and suspected torsion, leading to blood supply obstruction and necrosis.

Dr. Tran Huy Phuoc from the Department of Andrology, Center for Urology - Nephrology - Andrology, led an emergency surgical team for the patient. The goal was to detorse or remove the testicle if necessary. Dr. Phuoc observed that although the left testicle was not torsed, its internal blood vessels were dark, and the connective tissue was necrotic due to severe inflammation. Without prompt surgery, the infection could spread to the remaining testicle and risk systemic toxicity. The surgical team dissected the spermatic cord, blood vessels, and connective tissue, successfully removing the necrotic testicle while preserving the healthy one.

One day after the operation, Hai's fever subsided, and blood tests showed decreasing signs of infection. Three days later, the patient recovered well and was discharged. Doctors provided instructions on a proper diet, adequate rest, correct groin hygiene, and limiting strenuous activity to protect the remaining testicle from injury. Hai returned for a follow-up after one week, where his incision was noted to be healing well.

Dr. Phuoc (center) and his surgical team removing the necrotic testicle. Photo: Duy Duong

Hai is unmarried. Dr. Phuoc stated that removing one testicle does not significantly impact fertility. For cosmetic improvement, patients can consider artificial testicular implants to restore the genital organ's appearance.

Orchitis, or testicular inflammation, can stem from various causes, including urinary tract infections or sexually transmitted infections. Symptoms often include dull or severe pain; severe inflammation is typically accompanied by a high fever. Men experiencing these symptoms should seek early medical examination and treatment. In mild cases, patients may receive antibiotic and pain relief medication, adhering to doctor's instructions for rest and avoiding strenuous activity for better recovery.

Hoai Thuong

*Patient's name has been changed