Neonatal testicular torsion: Is it time for consensus?

Abstract

Testicular torsion (TT) occurring in the newborn period has been called neonatal TT (NTT) or perinatal TT. Most of these are asymptomatic, occur prenatally, and are difficult to diagnose. Almost all NTT are extravaginal. There is a lack of consensus in the approach to management of this rare condition. An emergent surgical exploration could salvage, the asymptomatic bilateral TT and prevent asynchronous torsion. After a thorough review of the evidence, the conclusion is that NTT should be managed like TT at any other age group, except that nonoperative maneuvers may not be successful.