ACTA FAC MED NAISS 2007; 24 (4): 209-212

Original article

PERINATAL TESTICULAR TORSIONS TREATED AT THE PEDIATRIC SURGERY CLINIC

Marija Mladenovic¹
Andjelka Slavkovic¹
Zoran Marjanovic¹
Jablan Stankovic<sup>2

1</sup>Pediatric Surgery Clinic Clinical Center in Nis
²Department of Urology Clinical Center in Nis 
 

    SUMMARY

    The aim of the study was to evaluate the safety and emergency exploration of neonatal torsion. We retrospectively reviewed the charts of 7 neonates (7 affected testicles) in the period 1980-2006.
    Of 7 explored testicles, 2 were removed (28.6%). The remaining 5 (71.4%) were explored and fixed. No operative or perioperative complications were associated with emergency exploration.
    During this twenty-six-year period, seven patients with the diagnosis of perinatal testicular torsion were treated at the Pediatric Surgery Clinic. All patients underwent inguinal or transscrotal exploration of the effected side. Non-contralateral orchidopexy was done. To date, no patient has had subsequent contralateral torsion. Perinatal testicular torsions are very rare and there are lots of controversies in the management. Emergency exploration of neonatal torsion is safe and rational method, and may result in higher testicular salvage rates.
  

    Key words: testis, spermatic cord, spermatic cord torsion, newborn