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July 31, 1967

Torsion of the Spermatic Cord

Author Affiliations

Salisbury, NC

JAMA. 1967;201(5):333. doi:10.1001/jama.1967.03130050067035

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To the Editor:—  I was extremely interested in the two articles in reference to torsion of the spermatic cord (200:669, 673, 1967). I think this would make an excellent subject for an editorial in The Journal. This is an extremely important problem—one that has not been emphasized by the medical schools. It is not a rare abnormality. I am associated with three other urologists, and we will see a torsion of the spermatic cord at least once every four to six weeks. In fact, we recently operated on one that was some 10 days old; the testicle, of course, was completely infarcted. We operated on the opposite side and did an orchipexy to prevent a torsion from occurring on the uninvolved side. I have seen two cases in which torsion later occurred on the uninvolved side, and the testicles in both cases were completely destroyed.A physician should consider