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Correspondence to Author: Faisal Bahasan¹, Ahmad Albarakaty¹, Ahmed Khiyami¹.  

¹Department of Urology, International Medical Center Hospital, Jeddah, Saudi Arabia

DOI: 10.52338/aou.2025.4834

Abstract:

Testicular torsion stands as a leading urological emergency that needs urgent medical attention to protect the testis. A 26-year-old male patient underwent emergency scrotal exploration with bilateral orchidopexy. Despite having no prior medical or surgical conditions. He visited the emergency department with severe bilateral testicular pain which lasted for more than five hours, associating with nausea and vomiting. The patient denied any history of intense exercise, scrotal injuries, sexual activities, fever, urinary tract symptoms, recent medical instrumentation or surgical procedures. The patient displayed light scrotal swelling but his external genital area showed normal appearance. Scrotal tenderness persisted without any improvement even after elvation of patient’s testes. The testes were felt at their normal positions. Color Doppler-ultrasound showed severely reduced blood flow in both testes which strongly indicated bilateral testicular torsion. The patient signed the consent for scrotal exploration where orchidopexy or orchiectomy depended on the viability of the testes. Upon exploration, the testes showed early ischemic changes (swollen, congested testes with dusky color) that resolved after receiving socked abdominal packing with warm normal saline, hence, confirming their clinical viability. The spermatic cord examination revealed no self-rotation. A bilateral orchiopexy was done via absorbable sutures before scrotum closure. The patient remained without any postoperative complaints and was discharged home in a stable condition. The patient underwent three serial ultrasounds within a period of six months as part of the planned follow-up protocol which revealed a left testicular volume reduction from 16 mL to 11 mL

Keywords:torsion, detorsion, orchidopexy, reperfusion.

Citation:

Ahmad Albarakaty, Simultaneous Bilateral Testicular Torsion: A Rare Case Report And Reviewing The Literature. Annals of Urology 2025.