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Neonatal Testicular Torsion and Infarction: Aetiology and Management
Author(s) -
BURGE D.M.
Publication year - 1987
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1987.tb04583.x
Subject(s) - testicular torsion , medicine , orchiectomy , infarction , torsion (gastropod) , etiology , spermatic cord torsion , surgery , ischemia , atrophy , testicular atrophy , myocardial infarction
Summary— Thirty neonates presented with signs of testicular ischaemia over a 20‐year period. Eighteen children had primary exploration revealing extravaginal torsion (10), intravaginal torsion (3), infarction without torsion (2) and torsion of the appendix testis (1). The other two children had simple biopsy of necrotic testes. In two instances the testis was untwisted and retained but both subsequently atrophied. The remainder underwent orchiectomy. Twelve children did not have initial exploration and 11 of these had subsequent testicular atrophy. At contralateral testis fixation, performed in 17 cases, signs of contralateral involvement in the ischaemic process were found in seven, suggesting that the primary event in the condition is infarction, with torsion occurring secondarily.