New insights into perinatal testicular torsion

Piet R. H. Callewaert*, Philip E. V. A. Van Kerrebroeck

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

26 Citations (Web of Science)


Perinatal testicular torsion is a relatively rare event that remains unrecognized in many patients or is suspected and treated accordingly only after an avoidable loss of time. The authors report their own experience with several patients, some of them quite atypical but instructive. Missed bilateral torsion is an issue, as are partial torsion, possible antenatal signs, and late presentation. These data are discussed together with the existing literature and may help shed new light on the natural course of testicular torsion and its treatment. The most important conclusion is that a much higher index of suspicion based on clinical findings is needed for timely detection of perinatal torsion. It is the authors' opinion that immediate surgery is mandatory not only in suspected bilateral torsions but also in cases of possible unilateral torsions. There is no place for a more fatalistic "wait-and-see" approach. Whenever possible, even necrotic testes should not be removed during surgery because some endocrine function may be retained.
Original languageEnglish
Pages (from-to)705-712
JournalEuropean Journal of Pediatrics
Issue number6
Publication statusPublished - Jun 2010


  • Perinatal testicular torsion
  • Extravaginal torsion of testis
  • Bilateral spermatic cord torsion

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