What is the role of orchiopexy in the treatment of testicular torsion?

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

Testicular torsion is treated with orchiopexy, in which the testis is anchored to the scrotal wall. This surgical procedure was initially developed as treatment for cryptorchidism, with the first successful orchiopexy performed in the 1870s by Annandale. Subsequently, the main technical improvements have been in how the testis is anchored to the scrotal wall. Anchoring mechanisms have ranged from using an external cage to fastening the testis to the fascia lata of the thigh or the contralateral testis for lengthening of the spermatic cord.

The current method of attaching the testis to the scrotal pouch was initially described the 1930s. [47] With testicular torsion, the testicles need only be secured in the correct orientation to the scrotal wall, as the spermatic cord does not need to be lengthened. In current practice, a bilateral scrotal orchiopexy is often recommended to treat the torsed testis and prevent torsion of the other testis.


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!