Torsion of the Testis (Cryptorchidism)

Operative findings in a toddler with known cryptorchidism of the left side and pain in the left groin. Testis, epididymis, and the visible part of the cord are a dark-red to black color. The diagnosis is testicular torsion in cryptorchidism of the left side. The incidence of torsion is higher in cryptorchidism than in testis with normal site. This inherent danger is an important indication for orchidopexy in cryptorchidism because all pathological processes of the testis, such as torsion, malignancy, and inflammation including epididymitis, are often not detected on time in cryptorchidism; this is true especially for severly retarded children.