Torsion Testis surgical technique

This young man presented with an evidence of chronic torsion testis with an ultrasound report.We have admitted the patient and done all urgent investigations including Doppler study scrotum.With the confirmation of gangrene left testis we explored the scrotum in mid line raphae.We did left orchiedectomy and right orchiedopexy.In this case it was concluded that there must have been a congenital testicular anomaly(anatomical) that might have gone in to torsion due to his cremasteric reflex while climbing a tree and developed the symptoms.Opposite side testis is fixed up to prevent the same condition in the future.Regarding his fertility,we have educated the patient about the follow up schedule including semen parameters and reproductive education about fertility chances after orchiedectomy.