What causes contralateral disease in testicular torsion?

Updated: Aug 31, 2018
  • Author: Oreoluwa I Ogunyemi, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Exocrine and endocrine function is substandard in men with a history of unilateral torsion. A correlation may exist between the duration of torsion and abnormal semen parameters. The following 3 theories explain the contralateral disease noted in torsion patients:

  • Unrecognized or unreported repeated injury to both testes

  • A preexisting pathologic condition predisposing to both abnormal spermatogenesis and torsion of the spermatic cord [15]

  • Induction of pathologic changes in the contralateral testis by retention of the injured testis


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