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J Urol. 1997 Sep;158(3 Pt 2):1196-7.

Management of neonatal testicular torsion.

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  • 1Department of Urology, University of Tennessee, Memphis, USA.

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.

PMID:
9258171
[PubMed - indexed for MEDLINE]
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