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Surgically managed perinatal testicular torsion: a single centre experience
Mary B Abraham1,2, Adrian Charles3, Parshotam Gera4
1a Department of Paediatrics .
Summary
Perinatal testicular torsion (PTT) in neonates can be asynchronous and missed on physical exam. Surgical exploration for unilateral PTT may reveal and salvage the contralateral twisted testis.
Area of Science:
- Pediatric Surgery
- Neonatal Urology
Background:
- Perinatal testicular torsion (PTT) is a surgical emergency in neonates.
- Prompt diagnosis and management are crucial for testicular salvage.
Purpose of the Study:
- To detail the clinical presentation and outcomes of surgically managed PTT.
- To highlight the diagnostic challenges and management strategies for PTT in neonates.
Main Methods:
- Retrospective review of neonatal PTT cases (<1 month old) over 24 years.
- Data collected from a prospective hospital database at a tertiary referral center.
Main Results:
- Twenty-eight cases of PTT identified: 23 unilateral, 5 bilateral.
- All bilateral cases were asynchronous; 3 found incidentally during unilateral torsion exploration.
- Testicular salvage was achieved in 2 neonates.
Conclusions:
- Asynchronous bilateral PTT may be missed on physical examination.
- Surgical exploration for unilateral PTT can identify and allow salvage of the contralateral torsion.
- Emergency surgical intervention improves outcomes for PTT.
