(045) Very Long-Term Outcomes After Testicular Fixation for Intermittent Testicular Torsion in Adults

Introduction Orchidopexy has been reported as a surgical solution for testicular chronic pain and testicular loss in patients with intermittent testicular torsion, although its rationale and efficacy is a matter of debate. We aimed to retrospectively assess the very long term outcomes of elective orchidopexy for preventing recurrent testicular pain episodes and testicular loss in a cohort of adult patients with intermittent testicular torsion. Objective None Methods We retrospectively analyzed data from 42 patients who underwent elective orchiopexy for recurrent testicular pain due to intermittent testicular torsion at our center between 2015 and 2024 and had at least one year of follow-up after surgery. Complete clinical data including follow-up were available for 31 patients. Demographic data, comorbidities, intraoperative data and any complications during the follow-up were collected for all patients. Complications were graded according to the Clavien-Dindo classification. Patient-reported satisfaction was assessed according to a Visual Analogue Scale (VAS) ranging from 1 to 5. Descriptive statistics were used to analyze the data. The primary outcome was to determine the efficacy of the procedure in preventing testicular loss and in resolving chronic- or recurrent- testicular pain. Results Median follow-up was 71 months (interquartile range-IQR 19-82). The median age of the patients was 23 (IQR 19-31). The elective orchidopexy was unilateral and bilateral in 16 (52%) and 15 (48%) of the patients, respectively. A 100%- efficacy in preventing testicular loss due to torsion was achieved. 29 patients (93%) reported testicular-pain resolution, while 2 patients (7%) complained of testicular pain persistence after surgery. No perioperative complication other than those two cases of pain-persistence were observed. At follow-up, the majority of patients reported a high degree of satisfaction (e.g., median VAS 4.2) with the surgical outcomes. Conclusions This series provides the longest follow-up being available in the literature for those adult patients being treated with elective orchidopexy for intermittent testicular pain. Despite the several limitations being associated with the present study, these data seem to suggest a possible efficacy of orchidopexy in controlling intermittent testicular pain episodes and testicular loss in these patients, along with an acceptable safety profile. Disclosure No