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Bilateral neonatal torsion.

M P LaQuaglia1, S B Bauer, A Eraklis

  • 1Department of Surgery, Children's Hospital Medical Center, Boston, Massachusetts.

The Journal of Urology
|October 1, 1987
PubMed
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Neonatal spermatic cord torsion, especially bilateral, is rare. Prompt surgical exploration and contralateral orchiopexy are recommended for unilateral cases to salvage testicles and prevent future torsion.

Area of Science:

  • Pediatric Surgery
  • Neonatal Urology

Background:

  • Extravaginal neonatal torsion of the spermatic cord is a rare condition.
  • Bilateral neonatal torsion is exceptionally uncommon, with limited prior reports.

Observation:

  • The study reviewed 4 consecutive cases of bilateral neonatal torsion between 1966 and 1986.
  • Two cases presented as asynchronous torsion, with one resulting in the loss of a previously normal-appearing contralateral testicle.

Findings:

  • Prompt surgical intervention and contralateral orchiopexy are crucial in managing unilateral neonatal torsion.
  • Treatment of the affected testicle depends on intraoperative findings, emphasizing the need for timely exploration.

Implications:

  • A policy of immediate exploration and contralateral orchiopexy for unilateral neonatal torsion is advocated.

Related Experiment Videos

  • This approach aims to maximize testicular salvage and mitigate risks of subsequent torsion in the contralateral gonad.