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Case Series | Pediatric Specialty | Volume 15 Issue 8, August 2026 | Pages: 387 - 390 | India
Role of Contralateral Orchidopexy Along with Ipsilateral Orchidectomy or Orchidopexy in Unilateral Testicular Torsion: A 15-Case Paediatric Series
Abstract: Background: Testicular torsion is a time-critical paediatric surgical emergency. The predisposing bell-clapper anomaly is often bilateral, providing the anatomical basis for contralateral fixation at the index exploration. Methods: This combined prospective and retrospective descriptive series included 15 paediatric patients with unilateral testicular torsion managed over a three-year period at a tertiary-care teaching hospital. History, clinical examination, colour Doppler findings and operative notes were reviewed. The normal side was explored first through a separate vertical scrotal incision and fixed by three-point orchidopexy. The affected side was then explored through a second vertical incision; viable testes underwent orchidopexy and non-viable testes underwent low orchidectomy. Results: The mean age was 11.6 years (range 5-17 years). Left-sided torsion occurred in 9 (60.0%) and right-sided torsion in 6 (40.0%). Mean symptom duration was 13.2 hours. Testicular salvage was achieved in 10 (66.7%), while 5 (33.3%) underwent low orchidectomy. Bilateral bell-clapper anomaly was documented in 13 (86.7%) patients. Other operative findings included hydrocele in 3, retractile testis in 1, and patent processus vaginalis/indirect hernia in 1 patient. Conclusion: Routine contralateral three-point orchidopexy is justified in unilateral intravaginal torsion because the underlying anatomical predisposition is commonly bilateral. Correct orientation with the epididymis facing posteromedially and fixation at three points provides broad rotational restraint.
Keywords: testicular torsion, paediatric acute scrotum, contralateral orchidopexy, bell-clapper anomaly, low orchidectomy, three-point fixation
How to Cite?: Dr. Yogiraj Malge, Dr. Meghraj Chawada, Dr. Pushkaraj Birajdar, Dr. Pramod Lokare, "Role of Contralateral Orchidopexy Along with Ipsilateral Orchidectomy or Orchidopexy in Unilateral Testicular Torsion: A 15-Case Paediatric Series", Volume 15 Issue 8, August 2026, International Journal of Science and Research (IJSR), Pages: 387-390, https://www.ijsr.net/getabstract.php?paperid=MR26806204642, DOI: https://dx.doi.org/10.21275/MR26806204642