Torsion of the Testis : Report of 6 Cases

Abstract

We experienced 6 cases of testicular torsion during the last 17 years. The cases were 2 neonates, 1 infant and 3 children. Orchiopexy was performed, on 5 of 8 testes with satisfactory results. Three interesting cases were reported in details. Case 1. An 11-year-old boy visited our hostital complaining of left scrotal pain and swelling. The patient had been waiting for orchiopexy because of his left undescended testis. An emergecy scrotal exploration was done for left testicular torsion and orchiopexy was performed successfully. About 2 months later, right testicular torsion occurred. An emergency scrotal exploration was done and orchiopexy was performed successfully. Case 2. A 3-year-old boy visited our hospital because of his left scrotal swelling without pain. Transillumination test of left scrotum was positive. The diagnosis was left hydrocele testis at that time. Next day, the patient visited us again complaining of left scrotal pain. An emergency scrotal exploration was done, but left torsive testis could not be saved. Left hydrocele testis was thought to be the etiology of left testicular torsion. Case 3. An 11-month-old boy was diagnosed and treated as acute epididymo-orchitis by a pediatrician. Symptoms was not improved and patient was referred to us. An emergency scrotal exploration was done for left testicular torsion, but left torsive testis could not be saved. The diagnosis of testicular torsion is difficult. We suggest early surgical exploration for cases with suspicion of torsive testis, as most of them can be salvaged by reduction of torsion and orchidopexy.