Torsion of the Previously Operated Testicle

Recurrent torsion after previous testicular fixation

“…This is consistent with the principles and methods of hydrocele repair. Only one case report details this apposition at initial fixation and this involved only a small excision of tunica vaginalis rather than a complete eversion 2 …”

Fixation of the testis

“…In the 1970s the testis was fixed by suturing the tunica albuginea to the scrotal wall. However, reports appeared of torsion of previously fixed testes [7]. In 1983 Thurston and Whitaker reported five patients who had previously undergone testicular surgery and had then had a torsion [8].…”

Torsion of Testis following Orchiopexy

“…It seems that the tissue reaction, and therefore testicular anchorage produced by a rapidly absorbed suture, are insufficient to ensure a reliable result. Several workers (Gartman, 1964;Johenning, 1973;Vorstman and Rothwell, 1982) recommend that silk sutures be used to fix the testis at its upper, middle and lower thirds.…”