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Review
. 2022 Jan-Mar;19(1):1-4.
doi: 10.4103/ajps.AJPS_153_20.

Neonatal testicular torsion

Ranjit I Kylat  1 , Mohamed N Ahmed  1
Affiliations
Review

Neonatal testicular torsion

Ranjit I Kylat et al. Afr J Paediatr Surg. 2022 Jan-Mar.

Abstract

Rotation of the testis around the axis of the spermatic cord results in tissue ischaemia and testicular torsion (TT). TT in the newborn infant in the 1st month of life is referred to as neonatal TT (NTT) or perinatal TT and occurs in 6.1/100, 000 live births. The true incidence could be higher as some of these occur prenatally and can be asymptomatic. TT can be extravaginal, intravaginal and mesorchial and NTT is usually extravaginal. Physical examination can be adequate for the diagnosis, and utility of ultrasound (US) is mainly to exclude other conditions. If the timing of the torsion is prenatal, the testicle may not be salvageable. But, in certain situations, these could be asymptomatic bilateral TT. When the timing of torsion is not simultaneous (asynchronous torsion) early contralateral orchiopexy done at the time of exploration would prevent the occurence of asynchronous torsion. Non.operative maneuvres to detorse in NTT are not successful and not recommended. This review focuses on the diagnostic approach and management.

Keywords: Extravaginal; orchiectomy; orchiopexy; perinatal; testicular torsion.

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Conflict of interest statement

None

References

    1. Osumah TS, Jimbo M, Granberg CF, Gargollo PC. Frontiers in pediatric testicular torsion: An integrated review of prevailing trends and management outcomes. J Pediatr Urol. 2018;14:394–401. - PubMed
    1. Gatti JM, Axt J. The acute scrotum. In: Holcomb GW, Murphy JP, St. Peter SD, Gatti JM, Ashcraft KW, editors. Holcomb and Ashcraft's Pediatric Surgery. 7th ed. Vol. 52. New York, NY, US: Elsevier; 2020. pp. 821–6.
    1. Bowlin PR, Gatti JM, Murphy JP. Pediatric testicular torsion. Surg Clin North Am. 2017;97:161–72. - PubMed
    1. Palmer LS, Palmer JS. Management of abnormalities of the external genitalia in boys. In: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, editors. Campbell-Walsh-Wein Urology. 12th ed. Vol. 44. Philadelphia, PA, US: Elsevier; 2021. pp. 871–904.e10.
    1. Abraham MB, Charles A, Gera P, Srinivasjois R. Surgically managed perinatal testicular torsion: A single centre experience. J Matern Fetal Neonatal Med. 2016;29:1265–8. - PubMed