Comprehensive management and recovery of reproductive function after testicular necrosis from scrotal burn: A case report

Abstract

Genital burns are uncommon injuries; however, they present significant concerns regarding reproductive function, particularly in younger populations. Despite this, the literature on the long-term follow-up of reproductive function after genital burns remains insufficient. A 20-year-old Japanese man suffered severe burns in his lower body including genital area following a motorcycle accident. Doppler ultrasonography revealed reduced blood flow to the right testis, which gradually atrophied. The patient underwent longitudinal monitoring through semen analysis, which revealed declining sperm function. Considering the adverse effects on the contralateral testis, right orchiectomy was performed six months after injury, and subsequent semen analysis showed normalization of sperm parameters. Genital burns with testicular necrosis can result in decreased testicular function, emphasizing the need for continuous monitoring through ultrasonography and semen analysis, and the potential necessity of orchiectomy.