Rare cause of testicular torsion in a transwoman: A case report

Testicular torsion (TT) presents as an acute scrotal pain, associated with anatomical, traumatic and environmental factors. This is a case of a 24 - year old transwoman with right scrotal pain and a Doppler ultrasound result of decrease flow in the right testicle. Patient wanted to have bilateral orchiectomy but after counselling, radical orchiectomy was performed. As a primary care provider, we should recognize TT as a possible cause of testicular pain using a triad of history, examination and investigation. This highlights awareness among transgenders, that tucking can limit their chances to have a biological child in the future.