Eversion of the tunica vaginalis for prophylaxis of testicular torsion recurrences.

After direct orchiopexy with punctiform suture fixation for prophylaxis of testicular torsion recurrence, at worst recurrent torsion may result in complete loss of the testis. Clinical and animal experience makes it appear more effective and reliable to prevent recurrent testicular torsion by eversion of the tunica vaginalis with extensive superficial adherence of the testicular integuments. We present the early and late results in 35 patients who underwent 46 eversion orchiopexies with a primary and definitive salvage rate of 87.5% and no case of recurrent testicular torsion.