During surgical detorsion for testicular torsion, what additional step is usually performed to prevent future torsion on the opposite side?

• A. Contralateral orchiopexy
• B. Bilateral nephrectomy
• C. Orchiectomy of affected side only
• D. Prophylactic antibiotics

Answer: (A)

The key idea is to prevent a repeat twisting on the opposite testicle by fixing it in place during surgery. Testicular torsion often stems from a bilateral predisposition (bell clapper deformity), so securing the other testis with an orchiopexy reduces the risk of future torsion on that side. The procedure involves attaching the contralateral testis to the scrotal wall to limit its mobility and rotation. The other options don’t address this mechanical risk: removing the other kidney is not relevant, removing only the affected side doesn’t prevent contralateral torsion, and antibiotics won’t prevent torsion since it’s a vascular event rather than an infection.