Although torsion of the spermatic cord unquestionably occurs more frequently than the reported cases indicate, and although it results in the loss of the affected testicle in 80 per cent of cases, very little emphasis has been laid on operative effort to save the affected testicle, when possible, or, more particularly, the prevention of torsion on the remaining side.
The symptoms and signs of cord torsion have been so adequately described in the literature of the past decade that they are by now familiar to every one. We propose, therefore, to confine ourselves to a brief discussion of some phase of its etiology and to submit a plan of operative treatment that is designed to save a small percentage of involved testicles, i. e., those in which reduction of the torsion has been attained before necrosis occurs, and especially to remove the possibility of its occurrence on the opposite side.
OTTENHEIMER EJ, BIDGOOD CY. TESTICULAR FIXATION IN TORSION OF THE SPERMATIC CORD. JAMA. 1933;101(2):116–119. doi:10.1001/jama.1933.02740270020008