Neonatal testicular torsion – a lost cause?

John, Cheri Mathews; Kooner, Gagan; Mathew, Deepa; Ahmed, Shahed; Kenny, Simon E.

doi:10.1111/j.1651-2227.2008.00701.x

Cited by 41 publications

(5 citation statements)

References 11 publications

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“…The mechanism of torsion, the clinical and surgical findings, and—unfortunately—the outcome are very different from the ones seen in testicular torsions at later ages. It is frustrating how few of these testes are actually salvaged according to literature [12, 14, 17–19, 26, 29]. Roughly 150 antenatal or immediately postnatal torsions have been reported so far with a significant percentage of bilateral cases.…”

Section: Introductionmentioning

confidence: 99%

New insights into perinatal testicular torsion

Callewaert

Kerrebroeck

2009

Eur J Pediatr

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Perinatal testicular torsion is a relatively rare event that remains unrecognized in many patients or is suspected and treated accordingly only after an avoidable loss of time. The authors report their own experience with several patients, some of them quite atypical but instructive. Missed bilateral torsion is an issue, as are partial torsion, possible antenatal signs, and late presentation. These data are discussed together with the existing literature and may help shed new light on the natural course of testicular torsion and its treatment. The most important conclusion is that a much higher index of suspicion based on clinical findings is needed for timely detection of perinatal torsion. It is the authors’ opinion that immediate surgery is mandatory not only in suspected bilateral torsions but also in cases of possible unilateral torsions. There is no place for a more fatalistic “wait-and-see” approach. Whenever possible, even necrotic testes should not be removed during surgery because some endocrine function may be retained.

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Section: Introductionmentioning

confidence: 99%

New insights into perinatal testicular torsion

Callewaert

Kerrebroeck

2009

Eur J Pediatr

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“…Prenatal testicular torsion reportedly occurs in approximately 6.1 per 100,000 births. 7,8 The frequency may be higher given that the infarcted testis gets resorbed giving rise to reports of the “vanishing testis” as is most likely in this case. 8 Whilst prenatal testicular torsion is increasing being recognized and treated as a surgical emergency, 9 prenatal testicular torsion in association with polyorchidism has not been previously reported.…”

Section: Discussionmentioning

confidence: 87%

Polyorchidism with presumed contralateral intrauterine testicular torsion

Leodoro

Beasley

Stringer

2014

International Journal of Surgery Case Reports

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HighlightsThe sentence, “Since then fewer than 200 cases have been reported in children and adults2” has been updated to “Since then nearly 230 cases of polyorchidism have been reported with a meta-analysis revealing 140 cases of histologically confirmed polyorchidism in children and adults.2”The sentence “It occurs mostly on the left side, with only a few reports of right sided polyorchidism3,4” has been changed to “Right sided polyorchidism is less common than on the left side.”Prenatal testicular torsion reportedly occurs in approximately 6.1 per 100,000 births.7,8 The frequency may be higher given that the infarcted testis gets resorbed giving rise to reports of the “vanishing testis” as is most likely in this case.8 While prenatal testicular torsion is increasingly being recognized and treated as a surgical emergency,9 prenatal testicular torsion in association with polyorchidism has not been previously reported.” has been included.

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“…The epidemiological data suggest that NTT has a reported incidence of 6 per 100,000 live births and accounts for 10 to 12 percent of all paediatric testicular torsions [9][10][11]. In most cases, torsion occurs in utero, representing 70 to 80 percent of cases [4,9].…”

Section: Discussionmentioning

confidence: 99%

Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management

Omran,

Ali,

Ahmad

et al. 2023

Case Reports in Surgery

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Neonatal testicular torsion (NTT) is a rare but significant condition occurring within the first 30-day postbirth, leading to vascular compromise and potential testicular loss. This paper presents a case of NTT detected incidentally in a neonate with bilateral hydrocele, emphasizing the challenge of early diagnosis and management complexities. The infant underwent surgical intervention involving detorsion and bilateral orchiopexy but eventually required right orchiectomy due to necrosis. The paper highlights the prevalence of NTT in conjunction with hydrocele and stresses the importance of parent education and vigilant follow-up. Various diagnostic methods, primarily ultrasonography, and a range of management strategies are discussed, considering factors such as salvage potential, risk to the contralateral testicle, and surgical intervention’s risks and benefits. The paper argues for individualized management, taking into account specific neonate conditions and parental preferences, underlining the essential role of informed and empathetic consultation. The case reinforces the urgent need for increased awareness, early detection, and carefully considered therapeutic approaches to prevent devastating outcomes like infertility and the necessity for lifelong hormone supplementation.

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Neonatal testicular torsion – a lost cause?

Cited by 41 publications

References 11 publications

New insights into perinatal testicular torsion

New insights into perinatal testicular torsion

Polyorchidism with presumed contralateral intrauterine testicular torsion

Neonatal Testicular Torsion with Hydrocele: A Case Report Underscoring the Need for Early Recognition and Management

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