Controversies of Perinatal Torsion of the Spermatic Cord: A Review, Survey and Recommendations

A Rare Cause of Scrotal Mass in a Newborn: Antenatal Intravaginal Testicular Torsion

“…92% of newborn testicular torsions are extravaginal and 8% are intravaginal. Torsions in this age group account for 10% of all testicular torsions (6). It has been reported that 48% of newborn torsions were in the left side, 44% in the right side, and 8% were bilateral (7).…”

Neonatal adrenal hemorrhage mimicking an acute scrotum

“…2,8,12 Several authors recommend considering an acute scrotal incident as a possible torsion of the testes and to provide promptly a surgical exploration to improve testicular salvage rates in newborn. 13,14 Testicular torsion in the neonatal period may be either antenatal or perinatal. The exact etiology of intrauterine torsion is unknown.…”

Perinatal bilateral testicular torsion: A rare emergency with review of literature

“…occurring after birth within first 28 days of life, responsible for nearly 28% of cases of PTT. 2 It is usually extravaginal in about 92% of cases especially, if occurring early in neonatal life. 8 It is due to fact that in early neonatal period tunica vaginalis is not yet secured to the gubernaculum and, therefore, the spermatic cord, as well as the tunica vaginalis, undergoes torsion as a unit.…”

“…2,5,9 However it has been noted salvage rates are better in patients with postnatal torsion, upto 25%. Also results are better if urgent exploration was protocol of management (21.7%).…”