A technique for atraumatic scrotal pouch orchiopexy in the management of testicular torsion.

Abstract

Scrotal pouch orchiopexy without suture fixation will result in strong atraumatic fixation of the testis in the management of undescended testis. We describe a similar technique that is effective in the management of testicular torsion. A total of 19 scrotal pouch orchiopexies was performed in 11 boys with testicular torsion. Age ranged from 10 to 17 years (mean 14). Orchiopexy was done using a scrotal pouch without transparenchymal suture fixation of the testis. The partial serosal sac was obliterated, placing the testis in a secured extravaginal position. Followup ranged from 17 to 33 months (mean 25.6). There were no instances of infection, hematoma, wound dehiscence, atrophy or recurrent torsion. Scrotal pouch orchiopexy as described is recommended to prevent torsion of the testis.