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Torsion of undescended testis in an infant: case for early orchiopexy
Rupa Dalmia Singh1, Santosh Kumar Singh
1Department of Paediatrics, GSVM Medical College, Kanpur 208001.
Insights
Testicular torsion is a surgical emergency in children. Early orchiopexy for undescended testes may improve outcomes and prevent the need for orchidectomy due to delayed diagnosis and treatment.
Area of Science:
- Pediatric Surgery
- Urology
- Emergency Medicine
Background:
- Testicular torsion is a critical surgical emergency in pediatric patients.
- Prompt diagnosis and intervention are crucial for testicular salvage.
- Torsion of an undescended testis presents diagnostic and therapeutic challenges, often leading to delayed treatment.
Observation:
- A six-month-old infant experienced testicular torsion involving an undescended testis.
- Despite prompt surgical exploration, testicular necrosis occurred, necessitating an orchidectomy.
Findings:
- Delayed diagnosis and treatment in cases of undescended testicular torsion significantly increase the risk of testicular loss.
- Even with timely surgical intervention, salvage may not be possible in advanced cases.
Implications:
- Early orchiopexy should be strongly considered for undescended testes to mitigate the risk of torsion and subsequent orchidectomy.
- This highlights the importance of proactive management in pediatric urology to preserve testicular function.
Abstract:
Torsion of the testis is a true surgical emergency in paediatric age group. Prompt recognition of the condition and immediate surgical intervention is the only hope for testicular salvage. The condition becomes all the more important when this occurs in an undescended testis as the diagnosis is often delayed, and therefore the treatment too. A six-month old infant presented with the torsion of an undescended testis. Even prompt exploration could not avoid the necrosis and orchidectomy was done. Therefore to avoid this almost unsalvageable condition the orchiopexy must be considered at an earlier age.
