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Updated: Jul 15, 2026
05:11
Anchorage of Twisted Testis: A Rat Model of Ischemia-Reperfusion Injury of the Testis
Published on: November 14, 2025
[Torsion of undescended testis]
C Domínguez Hinarejos1, S Vivancos Garbayo, M A Bonillo García
1Departamento de Cirugía Pediátrica, Sección de Urologia Infantil. Hospital Infantil La Fe, Valencia. dominguezhinar@hotmail.com
Actas Urologicas Espanolas
|April 7, 2007
Summary
Testicular torsion in undescended testes has vague symptoms, requiring surgery. Orchiectomy is done for necrotic testes, while contralateral testis management focuses on parental education for early diagnosis.
Area of Science:
- Urology
- Pediatric Surgery
Context:
- Undescended testicles (cryptorchidism) can undergo torsion, presenting with non-specific symptoms.
- Clinical suspicion is paramount for diagnosis, even with potential false negatives from Doppler ultrasound.
Purpose:
- To review the diagnostic and treatment strategies for testicular torsion in cryptorchidism.
- To discuss the controversial management of the contralateral (opposite) testicle.
Summary:
- Surgical exploration is indicated for suspected testicular torsion, regardless of ultrasound findings.
- Necrotic testes necessitate orchiectomy (testicle removal).
- Systematic fixation of the contralateral testicle is not our policy; we prioritize parental/child education for earlier future torsion detection.
Impact:
- Highlights the importance of clinical suspicion over imaging in suspected testicular torsion.
- Proposes an alternative management strategy for the contralateral testicle, emphasizing education over routine surgery.
- Aims to improve outcomes for cryptorchidism-related testicular emergencies through timely diagnosis.
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