The "window" orchidopexy for prevention of testicular torsion.
Torsion of the testicle is often due to the "bell-clapper" deformity. This deformity is frequently bilateral. Prevention of future episodes of torsion depends upon the creation of a broad area of dense adhesion between the tunica albuginea and the scrotal wall. The results of this study indicate that this may be best accomplished by creating a window in the tunical vaginalis so that during healing a broad area of the tunica albuginea is held in apposition to a raw surface devoid of tunica vaginalis. Simply suturing the testical to the wall of the hemiscrotum does not always result in permanent fixation.
D000293:Adolescent; D000818:Animals; D006801:Humans; D008297:Male; D008722:Methods; D011183:Postoperative Complications / Q000601:surgery; D051381:Rats; D012008:Recurrence; D013086:Spermatic Cord Torsion / Q000517:prevention & control*; D013536:Suture Techniques; D013737:Testis / Q000002:abnormalities / Q000601:surgery*; D000267:Tissue Adhesions; D014945:Wound Healing