Torsion of the contralateral testis 5 years after orchiopexy.
We report a case of spermatic cord torsion in the contralateral testicle 5 years after surgical fixation. Since diagnosis of such a lesion is difficult a high degree of suspicion is necessary. If torsion is suspected exploration is mandatory. We strongly recommend the use of a nonabsorbable reaction-producing suture (for example silk) when an orchiopexy is performed, with the point of fixation being between the visceral tunica vaginalis and the dartos muscle.
D000328:Adult; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis; D013086:Spermatic Cord Torsion / Q000175:diagnosis* / Q000601:surgery; D013536:Suture Techniques; D013537:Sutures; D013997:Time Factors