Neonatal testicular torsion: a systematic literature review

Nandi, Biplab; Murphy, Feilim

doi:10.1007/s00383-011-2945-x

Cited by 66 publications

(40 citation statements)

References 36 publications

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“…Torsions in this age group account for 10% of all testicular torsions (6). It has been reported that 48% of newborn torsions were in the left side, 44% in the right side, and 8% were bilateral (7). Intravaginal presentation of the torsion in the right side reported in this paper is a rare condition for this age group.…”

Section: Discussionmentioning

confidence: 47%

A Rare Cause of Scrotal Mass in a Newborn: Antenatal Intravaginal Testicular Torsion

Tuncer¹,

Bayraktaroğlu²,

Yümlü³

et al. 2018

jus

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Section: Discussionmentioning

confidence: 47%

A Rare Cause of Scrotal Mass in a Newborn: Antenatal Intravaginal Testicular Torsion

Tuncer¹,

Bayraktaroğlu²,

Yümlü³

et al. 2018

jus

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“…In a review, the rate of saving of NTT was reported to be 8.96%. This rate increases to 21.7%, if urgent operation is performed (5). One can wait in unilateral torsion, but urgent surgery is recommended in bilateral torsion to protect the remaining healthy testicular tissue (2).…”

Section: Discussionmentioning

confidence: 99%

A newborn with antenatal testis tortion

et al. 2014

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IntroductionNeonatal testicular torsion (NTT) includes cases which occur in the first 30 days of life and is divided into two groups as prenatal and postnatal torsion. Prenatal testicular torsion develops in the intrauterine period and its etiology has not been elucidated fully. Prenatal testicular torsion is diagnosed at birth or on the first examination of the baby. In the postnatal testicular torsion, the first examination of the baby is normal and a firm testis is palpated in the follow-up. The incidence of neonatal testicular torsion is 6.1/100 000 (1) and it constitutes 10-22% of childhood testicular torsions (2). Prenatal cases are observed more rarely; there is no information about the incidence. In the literature, less than 200 cases of prenatal testicular torsion have been reported. On physical examination, discolouration in the scrotum and firm testiscle are observed. Only 0-5% of prenatal torsions can be saved (2). However, it should be kept in mind that shortening of the time between the diagnosis and operation is important in terms of saving the testicle in cases of NTT. Here, a newborn who underwent orchiectomy because of prenatal testicular torsion was presented and the importance of detailed examination of the genital organs on the first physical examination was emphasized. CaseThe first and fifth minute Apgar scores of a baby born at the 35th gestational week from the first pregnancy of a 46-year old mother following in vitro fertilization were 8 and 9, respectively. In the prenatal period, the mother had gestational diabetes. The baby was admitted to the Neonatal Intensive Care Unit becasue of respiratory distress and preterm delivery and monitored with mechanical ventilation. On the first physical examination, the body weight was found to be 3 390 g (>97p), the height was found to be 52 cm (>97p), the head circumference was found to be 35.5 cm (>97p). The respiratory rate was 70/min, the heart rate was 140/min, the body temperature was 36.5°C and the blood pressure was measured to be 55/35 mmHg. There was hydrocele in the right scrotum as seen on Figure 1 which was taken after obtaining consent from the family. The right testicle had a size of 10x10 mm. The skin of the left testicle was darker than normal and a firm mass with a size of 15x15 mm was palpated in the scrotum (Figure 1). The left testicle was firmer and located more upwards compared to the right testicle. Paratesticular structures could not be differentiated fully. Since the patient was mechanically ventilated and receiving fentanyl infusion, it could not be fully evaluated if the testicular structures were painful. Other examination findings were normal. In the laboratory tests, complete blood count, blood glucose, blood gases, hepatic and renal functions were found to be normal. Scrotal Doppler ultrasonography revealed that both testicles were in the scrotum, the right testicle had a size of 7x7 mm and AbstractTestis tortion in the newborn (especially antenatal testis tortion) is observed very rarely and constitutes 10-12% of ...

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“…12 Clinically, intrauterine testicular torsion can present in the early postnatal period with painless scrotal swelling and a palpable mass. 13 Intrauterine testicular torsion is considered extravaginal without associated bell clapper deformity (compared with the more common intravaginal torsion seen in older children, with its associated bell clapper deformity), a distinction which generates controversy regarding the timing and need for contralateral orchiopexy. 13 Bilateral synchronous or asynchronous torsion also occurs.…”

Section: Testicular Torsionmentioning

confidence: 99%