Primary prevention
Patients with undescended testes should be referred for repair. In addition, a patient with episodes of intermittent testicular pain that resolves spontaneously may have intermittent torsion, which is associated with subsequent testicular torsion, and consequently these patients should be referred for timely evaluation and counselling.[20]
The 2024 National Confidential Enquiry into Patient Outcome and Death (NCEPOD) report from England, Wales, and Northern Ireland highlighted the importance of increasing public awareness of testicular torsion during perinatal care and in education settings from nursery to further/higher education. People should know about the importance of presenting within 6 hours of symptoms developing. There is also a need to address other factors that might delay seeking medical assistance such as the fear of embarrassment or worry that it might be a false alarm.[12]
Secondary prevention
During exploration, the contralateral testis is fixed to the posterior wall to prevent asynchronous bilateral testicular torsion.
Recurrent torsion may develop in patients with a past history of testicular fixation many years later, regardless of whether absorbable or non-absorbable sutures were used.[57] A heightened level of suspicion for these patients is important to prevent testicular damage.
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