Recognition of bilateral neonatal testicular torsion

Two cases of bilateral neonatal testicular torsion are reported and combined with 6 previously reported ones. These infants with bilateral testicular torsion are compared with neonates with unilateral torsion. Both have similar signs and symptoms: (1) a swollen bluish-red firm scrotum at birth, and (2) no evidence of spontaneous pain. Infants in neither group had any systemic symptoms. Immediate investigation with reduction is mandatory to prevent testicular atrophy.