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Urology. 2003 Jul;62(1):132-4.

Perinatal extravaginal torsion of the testis in the first month of life is a salvageable event.

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1
Department of Urology, University of Colorado Health Sciences Center, Denver, Colorado 80218, USA.

Abstract

OBJECTIVES:

To determine the effectiveness of immediate surgical exploration in salvaging perinatal testicular torsion.

METHODS:

A retrospective analysis from 1995 to 2000 of boys younger than 30 days of age with surgically documented extravaginal testicular torsion was conducted. All cases were diagnosed after a normal testicular examination by a neonatologist, and all patients underwent urgent exploration to confirm the exact diagnosis and attempt testicular salvage by detorsion with bilateral orchiopexy. If a nonviable testis was determined intraoperatively, it was removed and contralateral orchiopexy was performed. Success was determined by physical examination at 6 months of follow-up.

RESULTS:

Ten patients with 10 affected testes were identified and a total of 4 (40%) were salvaged. All the studied testes were right-sided, and of the 4 salvaged testes, all were palpably normal and equal in size to their mate at the 6-month follow-up examination. Of the 6 removed testes, 1 was potentially viable by permanent pathologic section analysis despite preoperative ultrasonography demonstrating no flow and a negative intraoperative bleed test.

CONCLUSIONS:

Boys younger than 30 days old presenting with clinical findings suggestive of extravaginal testicular torsion who are expeditiously explored surgically may have a salvageable event in at least 40% to 50%. These statistics are similar to the salvage rates found with the similar management approach of intravaginal torsion.

PMID:
12837441
DOI:
10.1016/s0090-4295(03)00402-3
[Indexed for MEDLINE]

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