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New insights into perinatal testicular torsion
European Journal of Pediatrics, 10/29/09

Callewaert PRH et al. – 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.