ArticlePediatric surgery international2026
Late metachronous contralateral torsion after testicular torsion without contralateral orchiopexy: a mid- to long-term follow-up study.
Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo evaluate the occurrence and timing of metachronous contralateral testicular torsion (CLTT) in patients with testicular torsion (TT) managed without contralateral orchiopexy (CLOP).
methodsWe retrospectively reviewed patients who underwent emergency TT surgery without CLOP at our hospital between April 2013 and April 2025. Patients with less than 6 months of follow-up, extravaginal torsion, or prior scrotal surgery were excluded. Primary outcomes included CLTT occurrence and time to CLTT.
resultsOf 40 patients surgically treated for TT, 24 met inclusion criteria. Median age at surgery was 14.0 years; 75.0% had left-sided TT. A bell-clapper deformity on the affected side was identified in 33.3%. Nineteen patients underwent orchiopexy, and five underwent orchiectomy. The median follow-up duration was 75.3 months. CLTT occurred in 1 of 24 patients (4.2%; 95% CIs, 0.1-21.1%) at 55.3 months after the initial surgery. The patient experienced the initial TT at age 16 years and developed CLTT at age 21 years.
conclusionCLTT can develop several years after the initial episode of TT, and it may occur in adulthood when CLOP is not performed at the time of adolescent onset. However, the small sample size and descriptive design preclude definitive conclusions.
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