A fusional anomaly of the epididymis associated with recurrent testicular torsion

Abstract

A 31-year-old man with recurrent testicular torsion and infertility was found to have a fusional anomaly of the epididymis on scrotal exploration in which only the head of epididymis was attached to the testis, while the body and tail were completely free. He had bilateral orchidopexy, which relieved pain and recurrent torsion. He was then referred for fertility treatment. Literature search has shown that infertility is more associated with congenital anomalies of the epididymis and not with recurrent torsions.

The effectiveness of extra-scrotal fixation following manual detorsion for testicular torsion: a pilot study in a rabbit model

“…However, immediately upon resolution of scrotal pain and restoration of blood flow after MD, there was greater confidence in performing this procedure [7, 8, 16]. Many successful MD procedures have been reported in the literature [7–13].…”

Anatomical variations in epididymal–testicular fusion in stallions and their possible clinical significance

“…In man, abnormal attachment of the epididymis to the testis, caused by incomplete epididymal–testicular fusion during fetal development, has been associated with cryptorchidism, testicular rotation, epididymal torsion and infertility . Over 50% of cryptorchid patients have anomalies of epididymal–testicular fusion, such as partial disconnection or complete separation of the epididymis from the testis .…”