Management of neonatal testicular torsion: Which way to turn?
OBJECTIVE: Perinatal testicular torsion (PTT) is a rare event with controversies surrounding its etiology, prebsentation, surgical management and sequelae. Our survey assessed the preferences of pediatric urologists with regard to its management. METHODS: Four cases of unilateral PTT and a questionnaire containing 11 questions about management of common clinical scenarios were mailed to 26 pediatric urologists. The answers were received anonymously and they were analyzed blindly. RESULTS: The response rate was 80% (21/26), with 90% (19/21) of respondents holding academic appointments. In the 2 first cases of PTT with a typical unilateral nonviable testis, 76% (16/21) and 67% (14/21), respectively, opted for surgery. A case of acute postnatal torsion resulted in 100% agreement to urgent scrotal exploration. In the case of an atrophic testis, none of the respondents opted for immediate surgery; yet, 38% (8/21) said they would proceed with a delayed orchiopexy of the contralateral testicl
