Management of Neonatal Testicular Torsion

No AccessJournal of UrologyTestis1 Sep 1997Management of Neonatal Testicular Torsion Kirk J. Pinto, H. Norman Noe, and Gerald R. Jerkins Kirk J. PintoKirk J. Pinto More articles by this author , H. Norman NoeH. Norman Noe More articles by this author , and Gerald R. JerkinsGerald R. Jerkins More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64425-2AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the safety and efficacy of emergency exploration of neonatal torsion. Materials and Methods: We retrospectively reviewed the charts of 27 neonates (30 affected testicles) in a 13-year period. Results: Of the 10 testicles that were explored and fixed within 6 hours of discovery 2 (20%) were normal at physical examination at 1 year of followup. Of the remaining 20 testicles 19 were removed. One patient was lost to followup after orchiopexy. No operative or perioperative complications were associated with emergency exploration. Conclusions: Emergency exploration of neonatal torsion is safe and prudent, and may result in higher testicular salvage rates. Given reports of contralateral torsion, we also recommend contralateral orchiopexy. References 1 : A case of testis strangulated at birth.. Brit. Med. J.1897; 1: 458. Google Scholar 2 : Controversies in perinatal torsion of the spermatic cord: a review, survey and recommendations.. J. Urol.1990; 143: 231. Abstract, Google Scholar 3 : Intrauterine testicular torsion: not an emergency.. Urology1979; 14: 603. Google Scholar 4 : Neonatal torsion-to pex or not?. In: . Philadelphia: W. B. Saunders Co.1988: 386. chapt. 20. Google Scholar 5 : Bilateral spermatic cord torsion in the neonate.. J. Urol.1980; 123: 293. Abstract, Google Scholar 6 : Testicular torsion in utero.. Amer. J. Obst. Gynec.1973; 117: 1126. Google Scholar 7 : Spermatic cord torsion in the neonate.. J. Urol.1983; 129: 121. Abstract, Google Scholar 8 : Color Doppler ultrasound in newborn testis torsion.. Urology1995; 45: 667. Google Scholar 9 : Management of suspected antenatal torsion: what is the best strategy?. J. Urol.1995; 153: 782. Link, Google Scholar 10 : Routine contralateral exploration and fixation is unjustified.. Dial. Ped. Urol.1991; 14: 7. number 5. Google Scholar 11 : Anesthesia risks for neonates.. Dial. Ped. Urol.1991; 14: 2. number 5. Google Scholar 12 : Urologic surgery in the neonate.. J. Urol.1976; 116: 506. Google Scholar From the Department of Urology, University of Tennessee and LeBonheur Children's Medical Center, Memphis, Tennessee.© 1997 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByYERKES E, ROBERTSON F, GITLIN J, KAEFER M, CAIN M and RINK R (2018) MANAGEMENT OF PERINATAL TORSION: TODAY, TOMORROW OR NEVER?Journal of Urology, VOL. 174, NO. 4 Part 2, (1579-1583), Online publication date: 1-Oct-2005. Volume 158Issue 3September 1997Page: 1196-1197 Advertisement Copyright & Permissions© 1997 by American Urological Association, Inc.MetricsAuthor Information Kirk J. Pinto More articles by this author H. Norman Noe More articles by this author Gerald R. Jerkins More articles by this author Expand All Advertisement PDF DownloadLoading ...