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. 2024 Sep 20;5(11):1017-1022.
doi: 10.1002/bco2.439. eCollection 2024 Nov.

Bilateral orchidopexy for intermittent testicular torsion

Paul K Hegarty  1 , Mona Kalantar  2 , Penelope A Hegarty  2 , Helen Zafirakis  3 , Jack E Monahan  2
Affiliations

Bilateral orchidopexy for intermittent testicular torsion

Paul K Hegarty et al. BJUI Compass. .

Erratum in

  • Erratum.
    [No authors listed] [No authors listed] BJUI Compass. 2024 Dec 30;5(12):1324-1329. doi: 10.1002/bco2.482. eCollection 2024 Dec. BJUI Compass. 2024. PMID: 39744071 Free PMC article.

Abstract

Objectives: To assess the effect of bilateral orchidopexy in preventing future torsion and testicular loss in patients with intermittent testicular torsion. Secondarily, this study aims to assess the rate of pain improvement following orchidopexy.

Methods: This is a prospective cohort of patients. Participants were men who underwent elective bilateral orchidopexy for intermittent testicular torsion. All consecutive cases were treated by a single surgeon in a single centre between 2015 and 2023. The primary outcomes were prevention of torsion and testicular loss. The secondary outcome was the resolution or improvement in pain.

Results: The success rate of bilateral orchidopexy in preventing testicular loss due to torsion was 100%, at a follow-up of mean 33.5 months. Of the 50 patients, 88% were pain-free following orchidopexy, and 12% had an improvement in their pain. There were no cases of hydrocoele or haematoma in this series. To our knowledge, this is the largest series reported in the literature.

Conclusions: Elective bilateral orchidopexy prevents torsion and preserves testicular viability. Pain is resolved in most but not all cases. This is important in counselling men who are considering surgical management of intermittent torsion of the testicle.

Keywords: intermittent; orchidopexy; outcomes; testis; torsion.

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Conflict of interest statement

None of the authors have a conflict of interest in this article.

Figures

FIGURE 1
FIGURE 1
Median mutual fixation of testes using three vertical mattress non‐absorbable sutures.
FIGURE 2
FIGURE 2
Incidence of pain outcomes following bilateral orchidopexy.
See this image and copyright information in PMC

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