Which anatomical anomaly increases the risk of testicular torsion?
Solution
Correct Answer: Option A
The correct answer is Varicocele because it is associated with the incomplete attachment of the testis within the tunica vaginalis, known as the "bell clapper deformity". This anatomical anomaly allows increased mobility of the testis, predisposing it to twisting of the spermatic cord, leading to testicular torsion. Varicocele itself reflects abnormal venous dilation but is clinically linked with the structural predisposition to torsion. Recognizing this surgical anatomy is crucial during orchidopexy to fix the testis and prevent torsion.
Reference: Campbell-Walsh Urology, 12th Edition.