Axial fixation of testes for prevention of recurrent testicular torsion

Testicular torsion is a surgical emergency that requires prompt exploration in order to maintain testicular viability. All testicular fixation techniques, so far in use, are not entirely reliable in preventing recurrences. Although recurrent testicular torsion after previous fixation is rare, in cases that it occurs, it is associated with atrophy of the testis or gangrene leading to loss of the testes. The most common cause for recurrence is improper or inadequate fixation. We describe a simple and effective method using a four point fixation, which is likely to prevent testicular torsion recurrences.