What is the efficacy of surgical detorsion for the treatment of testicular torsion in neonates?

Updated: Aug 31, 2018
  • Author: Oreoluwa I Ogunyemi, MD; Chief Editor: Edward David Kim, MD, FACS  more...
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Answer

Treatment of testicular torsion varies according to patient age.

Neonatal torsion is controversial, but is most often treated with elective exploration and contralateral orchiopexy (anchoring) because bilateral (synchronous or asynchronous) neonatal testicular torsion has been described.

The potential for salvage of a neonatally torsed testis is exceptionally small, making the risk of immediate surgery before complete stabilization of the newborn unwarranted. However, some controversy lies in the fact that there is a risk of synchronous or asynchronous testicular torsion in the neonate and therefore possible loss of both testes if surgery is not available immediately. In addition, neonatal anesthesia is becoming safer, especially in the hands of a pediatric anesthesiologist. [48] A newborn with a normal testis at birth who subsequently undergoes torsion, on the other hand, definitely requires immediate exploration.


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