Acta Fac Med Naiss No 4.cdr

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 theperiod 1980-2006. Of 7 testicles, 2 were removed (28.6%). The remaining 5 (71.4%) were explored and fixed. No operative or perioperative complications were associatedwith 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 the management. Emergency exploration of neonatal torsion is safe and rational method, andmay result in higher testicular salvage rates.