An unusual etiology of testicular avulsion: A case report

Abstract

Dog bites are a common presentation in emergency departments. However, scrotal injuries with complete testicular avulsion are exceedingly rare. We present a case of a dog bite to the scrotum with complete detachment of the testis and right hemiscrotum in an intoxicated 48-year-old man, who was treated with wound irrigation, debridement, antibiotic prophylaxis, tetanus and rabies vaccination, and a covering scrotoplasty. Testicular avulsion following a dog bite to the scrotum is a urologic emergency. Management requires a multidisciplinary approach to address bleeding control, testicular function preservation, infection prevention, and scrotal reconstruction. Dog bites to the scrotum can lead to serious and irreversible complications, underscoring the need for every urologist to be aware and prepared to manage such injuries. • Testicular avulsion resulting from a dog bite to the scrotum is a critical urological emergency. • It may lead to serious complications, underscoring the need for every urologist to be aware and prepared to manage such injuries. • Management requires a multidisciplinary approach focused on immediate hemostasis, preserving testicular function whenever possible, preventing infection, and ultimately achieving an acceptable cosmetic outcome through scrotal reconstruction.