Objective: To evaluate the patients who presented to our department due to testicular torsion (TT) and investigate the risk factors affectingorchiectomy in patients with TT.Materials and Methods: Between November 2005 and January 2018, the data of 46 male patients were analysed. The patients were divided intotwo groups: group 1, patients who underwent orchiectomy and group 2, patients who underwent detorsion and testicular fixation. The paternityrates between groups 1 and 2 were compared. Statistical analyses were performed to determine the risk factors for orchiectomy.Results: The participants’ mean age was 26.9 years. Of the cases, 35 (76.1%) were determined between November and March, when diurnaltemperature changes were observed. Orchiectomy was performed in 31 patients (group 1) and testicular detorsion and fixation in 15 (group 2). Theoverall orchiectomy rate was 67.4%. The duration between the onset of complaints and the intervention was found to be the only risk factor fororchiectomy in TT. The paternity rate in groups 1 and 2 was 86.6% and 85.7%, respectively (p=1.0).Conclusion: The prolongation between the onset of complaints and the application in TT is a risk factor for orchiectomy. Prompt diagnosis andintervention are required in treatment. Regarding paternity rates, groups 1 and 2 appear similar.