A Rare Complication Reversed: Successful Testicular Revascularization After Inguinal Hernia Repair

Testicular atrophy is a recognized complication that may occur following inguinal hernioplasty, typically resulting from injury or the avulsion of the testicular vessels. The ligation of the testicular vessels during inguinal hernioplasty is exceedingly rare and is generally encountered in complicated cases. In the present case report, we describe a patient who underwent immediate testicular revascularization following the ligation of the testicular vessels during a complex and adherent inguinal hernioplasty. After the successful microvascular anastomosis of the testicular vessels, no evidence of testicular atrophy was observed during follow-up. Doppler ultrasonography (USG) demonstrated preserved and normal testicular perfusion. Interestingly, the Doppler USG of the contralateral testis revealed minimal atrophy, which was most likely due to a preexisting condition. This case highlights the critical importance of the prompt recognition and repair of testicular arterial injury, particularly in young patients, to prevent irreversible ischemic damage and preserve gonadal function.