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Most CTSTB involves only two segments; however, in this case, we found a very extensive case wherein there were fourteen damaged segments. CONCLUSIONS Our report demonstrates one of the longest involvement of extensive contiguous CTSTB who was treated with one-stage posterior-only approach. However, as this is only a report of one case, further studies are required to investigate the safety and efficacy of such approach for treating extensive CTSTB. PURPOSE Testicular torsion is an urological emergency and an important cause of male in