A fusional anomaly of the epididymis associated with recurrent testicular torsion

A fusional anomaly of the epididymis associated with recurrent testicular torsion

A 31-year-old man with recurrent testicular torsion and infertility was found to have a fusional anomaly of the epididymis on scrotal exploration in which only the head of epididymis was attached to the testis, while the body and tail were completely free. He had bilateral orchidopexy, which relieved pain and recurrent torsion. He was then referred for fertility treatment. Literature search has...

Recurrent testicular torsion after orchidopexy

A 16-year-old male presented with a sudden, severe right scrotal pain at rest, occurred within the last 2 hours. The patient had a history of right orchidopexy 12 months ago. There was no associated fever, injury, or sports activity. Clinical examination and color-Doppler ultrasound confirmed the diagnosis of testicular torsion, with the absence of intraparenchymal blood flow. The patient was s...

Anatomic aspects of epididymis and tunica vaginalis in patients with testicular torsion.

OBJECTIVE To analyze the morphology of epididymis and tunica vaginalis as well as their anatomical anomalies in patients with testicular torsion. MATERIALS AND METHODS We studied 25 patients (50 testes) aged between 12 and 23 years (mean 15.6). Torsion length ranged from 2 hours to 2 days (mean 8 hours). Epididymal anatomy was classified in 6 groups: Type I--epididymis united to the testis by...

The effect of melatonin on ductus epididymis. Unilateral testicular torsion in rats.

Testicular torsion.

Each year, testicular torsion affects one in 4,000 males younger than 25 years. Early diagnosis and definitive management are the keys to avoid testicular loss. All prepubertal and young adult males with acute scrotal pain should be considered to have testicular torsion until proven otherwise. The finding of an ipsilateral absent cremasteric reflex is the most accurate sign of testicular torsio...