Title: Recurrent Testicular Torsion After Orchiopexy: An Underrecognized Emergency
Authors: Elftouhi Hamza, Ouzidane Yassine, Bouchareb elmehdi, Kbirou Adil, Moataz Amine, Dakir Mohamed, Debbagh Adil, Aboutaieb Rachid
Volume: 10
Issue: 1
Pages: 50-51
Publication Date: 2026/01/28
Abstract:
Testicular torsion is a urologic emergency requiring prompt intervention to preserve testicular viability. Although orchiopexy is considered a definitive preventive procedure, recurrent testicular torsion remains a rare but documented complication. We report the case of a 15-year-old boy who presented with acute testicular pain four years after prior orchiopexy. Clinical findings were highly suggestive of torsion, while Doppler ultrasound showed reduced but preserved blood flow. Emergency surgical exploration revealed a 180° torsion despite previous fixation, with no functional sutures identified. Testicular viability was restored after detorsion, and repeat three-point orchiopexy using non-absorbable sutures was performed, along with contralateral fixation. This case highlights that prior orchiopexy does not eliminate the risk of torsion and that clinical suspicion should outweigh imaging findings. Early surgical exploration remains crucial to prevent testicular loss.