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Revista Cubana de Pediatría

Print version ISSN 0034-7531


LOPEZ CALIMANO, Sara; LOPEZ ESQUIROL, Juana Rosa  and  VILORIO BARRERAS, Pedro Abelardo. Perinatal testicular torsion: results of 10 years of experience. Rev Cubana Pediatr [online]. 2011, vol.83, n.4, pp.365-371. ISSN 0034-7531.

Introduction: the perinatal testicular torsion is defined as a twist of testicle in prenatal period or within the first 28 days of life. Objective: to assess the data obtained from the medical records and to propose the principles of clinical and surgical treatments. Methods: retrospectively the medical records of newborn operated on diagnosed with testicular torsion were reviewed admitted in the pediatric surgery service of the "William Soler" Teaching Children Hospital from January, 2000 to December, 2009. Results: eighteen patients were eligible for study, 17 had a unilateral torsion with a testicle of increase size, hard and painless (94 %), the 55 % had contralateral hydrocele, 16 patients born at term weighing more than 3 100 g (88 %), the extravaginal torsion and left testicle involvement was observed in 13 (72 %). A case had bilateral asynchronism (6 %), since the left testicle was twisted in the inguinal region with ischemia but not necrosis and could be preserved. Two cases (12 %) had torsion of intravaginal type and one of them was clinically presented as acute scrotum. The affection was diagnosed in ages from 0 to 7 days in the 72 % of cases. An orchiectomy was performed without contralateral exploration in 16 patients (88 %). Evolution was satisfactory in 17 cases (94 %). Conclusions: the perinatal testicular torsion accounts for the 3,4 % of neonatal surgical affections and may to involve a und-descent testicle. Authors suggest making a protocol of preoperative Doppler ultrasound and the exploration and fixation of contralateral testicle.

Keywords : perinatal testicular torsion; newborn; acute scrotum.

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