And Then There Was One: Elective Induction and Contralateral Septopexy for Management of Prenatal Testicular Torsion

Prenatal testicular torsion (PTT) is very rare and poses a unique challenge as the contralateral testis cannot be easily monitored in utero. Delays to induction or delivery could increase the risk of testicular loss and anorchia due to contralateral torsion. We present a case of unilateral PTT in a near-term fetus managed with elective induction who underwent orchiectomy of the ipsilateral testis and septopexy of the contralateral testis, with a specific focus on multispecialty discussion weighing the maternal-fetal risk of early delivery with the risk of contralateral torsion.