title: Intermittent torsion: association with horizontal lie of the testicle.
abstract: The importance of making an early diagnosis of intermittent testicular torsion cannot be over-emphasized. We report on 3 patients with recurrent episodes of severe testicular pain but who were pain-free at evaluation. All 3 patients were found to have a horizontal lie of the symptomatic testicle and a normal vertical axis in the contralateral asymptomatic testicle. Scrotal exploration revealed a bell-clapper deformity in all 3 patients. A history of recurrent scrotal pain and horizontal testicular lie, even in the absence of pain at the time of physical examination, is a strong indication for exploration and bilateral testicular fixation.
authors.affiliation: Department of Urology, State University of New York Health Science Center, Brooklyn 11203-2098.
authors.forename: D
authors.initials: D
authors.lastname: Schulsinger
authors.forename: K
authors.initials: K
authors.lastname: Glassberg
authors.forename: A
authors.initials: A
authors.lastname: Strashun
mesh_terms: D000293:Adolescent; D002648:Child; D006801:Humans; D008297:Male; D010808:Physical Examination; D012008:Recurrence; D013086:Spermatic Cord Torsion / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D013737:Testis / Q000473:pathology*; D013997:Time Factors