From Tucking to Twisting; A Case of Self-induced Testicular Torsion in a Cross Dressing Male

Abstract

A self-induced, non-traumatic testicular torsion is a rare entity that to our knowledge has not been reported in the literature. We report the case of a 28-year-old male who caused a self-induced testicular torsion during acts associated with cross dressing. Differential diagnosis of the acute scrotum in an adult should always include testicular torsion, as outcomes in this population are worse than in younger populations. Additional unusual causes of testicular torsion are reviewed.

Rare cause of testicular torsion in a transwoman: A case report

“…In 2016, Epps and colleagues 4 reported the first case of testicular torsion in a 28-year-old male due to self – testicular manipulation during acts associated with cross dressing. Although some articles reported trauma as a cause of torsion in tucking due to self-induced twisting of the spermatic cord, the exact mechanism remains unknown.…”