Testicular torsion

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Testicular torsion occurs most often in the neonatal period and around puberty. Perinatal testicular torsion mostly occurs extravaginally in the prenatal period. On the other hand, pubertal torsion usually occurs intravaginally and requires prompt surgical treatment. The degree of cord twisting and the time between onset of symptoms and detorsion are most important factors to decide early salvage rate of the testis. In order to revive blood supply until operation, consider manual detorsion by rotation from within outward in pubertal boys with intravaginal torsion. If the color of the testis recovers after untwisting it, orchiopexy is performed in the dartos pouch with at least three places of fixation using nonabsorbable sutures. In all cases, contralateral orchiopexy should be done to prevent future torsion. Patients would need a long-term follow-up mainly for fertility and hormonal issues.

Original languageEnglish
Title of host publicationOperative General Surgery in Neonates and Infants
PublisherSpringer Japan
Pages355-358
Number of pages4
ISBN (Electronic)9784431558767
ISBN (Print)9784431558743
DOIs
Publication statusPublished - 2016 Jun 23

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Keywords

  • Fertility
  • Neonate
  • Orchiopexy
  • Puberty
  • Testicular torsion

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Asanuma, H., & Oya, M. (2016). Testicular torsion. In Operative General Surgery in Neonates and Infants (pp. 355-358). Springer Japan. https://doi.org/10.1007/978-4-431-55876-7_58