Segmental testicular infarction in adolescent:experience of new treatment and testicular function monitoring.

ABSTRACT

Segmental testicular infarction is a relatively rare acute or subacute condition that is often overlooked in the differential diagnosis of testicular pain. Ultrasound is highly sensitive in detecting testicular damage. Combining testicular tumour markers with MRI can effectively identify tumours and infarctions. Conservative treatment programs for adolescents suggest that testicular function should be monitored. We report the case of a 12-year-old boy with testicular infarction who was treated with antibiotics, dexamethasone, and vitamin C. We monitored reproductive hormones, inhibin B, anti-Müllerian hormone, and testicular volume to assess the patient's testicular function. LH increased 3.02 fold on day 14 and 3.8 fold on day 42; T increased 6.92 times on day 14 and 7.95 fold on day 42; inhibin B increased 2.72 fold on day 14 and 4.06 fold on day 42; the left testicular volume increased 1.14 fold on day 42; the right testicular volume decreased by 8 %; and the infarct area decreased by 71 %. This case study demonstrated the effectiveness of conservative treatment with antibiotics, dexamethasone, and vitamin C for segmental testicular infarction. Close monitoring of testicular function is essential for optimal management of this rare condition in adolescent patients.