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Updated: Aug 5, 2026
05:24
Teratoma Generation in the Testis Capsule
Published on: November 7, 2011
[Bilateral newborn testicular torsions]
J J Choulot1, L Joly, Y Laborde
1Service de Pédiatrie, Centre Hospitalier, PAU.
Annales De Pediatrie
|October 1, 1991
Summary
Bilateral spermatic cord torsion in neonates is rare, often occurring before or after birth. This condition typically results in poor testicular viability or castration, highlighting a poor prognosis for affected infants.
Area of Science:
- Neonatal surgery
- Pediatric urology
- Reproductive medicine
Background:
- Spermatic cord torsion is a surgical emergency requiring prompt diagnosis and intervention.
- Neonatal torsion, specifically bilateral cases, presents unique diagnostic and management challenges.
- Understanding the timing and presentation of neonatal torsion is crucial for improving outcomes.
Observation:
- A case of bilateral spermatic cord torsion in a neonate is presented and compared with 22 prior cases.
- Torsion events typically occur antenatally or immediately postpartum, affecting one or both spermatic cords.
- Clinical signs include scrotal edema in acute cases, progressing to testicular hardness and atrophy.
Findings:
- Bilateral spermatic cord torsion in neonates is frequently associated with poor obstetric history.
- The condition often leads to severe testicular damage, including atrophy, even with timely intervention.
- Most cases result in the need for castration or result in non-viable testicular tissue.
Implications:
- The poor prognosis underscores the need for increased awareness and early detection of neonatal torsion.
- Further research into preventative or early intervention strategies for neonatal spermatic cord torsion is warranted.
- Improved management protocols may enhance testicular viability in affected neonates.
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