title: Low success rate of salvage surgery for testicular torsion in newborns.
abstract: BACKGROUND
  Testicular torsion within the first 30 days of life is rare. The treatment is controversial, and the prognosis for testis viability varies from 0 to 40% in the literature. The aim of this study was to review our institutional results for surgery for testicular torsion in the neonatal period with a special focus on salvage surgery.
  
  
  METHODS
  Patient records were reviewed for all children in the age up to 30 days who were operated for testicular torsion at our hospital during the past 20 years.
  
  
  RESULTS
  A total of 13 patients were included, two with bilateral affection. Emergency surgery was performed in eight cases and delayed surgery in five cases. Out of our 15 affected testes, 12 (85%) were non-viable at the time of surgery and were removed, one was fibrotic and left in place and two were salvageable.
  
  
  CONCLUSIONS
  The overall frequency of salvageable testis was low, and testis was only salvaged in cases with urgent surgery at symptom recognition. Cases that presented within the first day of life resulted in a non-salvageable testis despite emergency surgery. The reason may be prenatal torsion. Doctor's delay was common for this rare disease.
  
  
  BACKGROUND
  not relevant.
  
  
  BACKGROUND
  not relevant.
authors.affiliation: Kirurgisk Afdeling, Odense Universitetshospital, Sdr. Boulevard 29, 5000 Odense C, Denmark. rijen08@gmail.com.
authors.forename: Rie
authors.initials: R
authors.lastname: Jensen
authors.forename: Mark
authors.initials: M
authors.lastname: Ellebæk
authors.forename: Lars
authors.initials: L
authors.lastname: Rasmussen
authors.forename: Niels
authors.initials: N
authors.lastname: Qvist
mesh_terms: D004638:Emergency Treatment / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D016879:Salvage Therapy / Q000379:methods*; D013086:Spermatic Cord Torsion / Q000601:surgery*; D013737:Testis / Q000601:surgery; D016896:Treatment Outcome