title: Surgically managed perinatal testicular torsion: a single centre experience.
abstract: OBJECTIVE
  The objective of this series is to describe the clinical features and immediate outcomes of surgically managed perinatal testicular torsion (PTT).
  
  
  METHODS
  A retrospective chart review of the cases of PTT diagnosed in neonates less than 1 month of age was conducted. The cases were identified from the hospital database maintained prospectively over 24 years at the sole tertiary referral centre for the state of Western Australia.
  
  
  RESULTS
  Twenty eight cases of PTT were identified, being 23 unilateral and 5 bilateral. All the five bilateral cases were asynchronous and three were identified incidentally on surgical exploration of unilateral torsion. The testis was clinically salvaged in two newborns at the time of follow-up.
  
  
  CONCLUSIONS
  Asynchronous bilateral PTT could be missed on physical examination and identified on surgical exploration of unilateral PTT. Emergency exploration may result in salvage of the contralateral torted testis.
authors.affiliation: a Department of Paediatrics .|b Department of Endocrinology .
authors.forename: Mary B
authors.initials: MB
authors.lastname: Abraham
authors.affiliation: c Pathwest Laboratory Medicine and.
authors.forename: Adrian
authors.initials: A
authors.lastname: Charles
authors.affiliation: d Department of Surgery , Princess Margaret Hospital , Perth , Australia .
authors.forename: Parshotam
authors.initials: P
authors.lastname: Gera
authors.affiliation: e Department of Paediatrics and Neonatology , Joondalup Health Campus , Joondalup , Australia , and.|f School of Paediatrics and Child Health, The University of Western Australia , Perth , Australia.
authors.forename: Ravisha
authors.initials: R
authors.lastname: Srinivasjois
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009919:Orchiectomy; D011181:Postnatal Care; D012189:Retrospective Studies; D013086:Spermatic Cord Torsion / Q000601:surgery*; D061665:Time-to-Treatment
keywords: Asynchronous; orchiectomy; perinatal; testicular torsion