NEONATAL TESTICULAR TORSION: A CASE REPORT ON MANAGEMENT OPTIONS FOR UNILATERAL NEONATAL TESTICULAR TORSION WITH TESTICULAR NECROSIS

Abstract

Neonatal testicular torsion (NTT) is a rare but serious condition affecting newborns, typically presenting within the first month of life. It involves twisting of the spermatic cord, compromising blood supply to the testis and leading to ischemia and necrosis if left untreated for 4 to 8 hours. This report discusses the case of a 10-day-old male infant who presented with an incidental finding of right testicular enlargement during a routine postnatal check-up. Ultrasound examination revealed right testicular necrosis secondary to torsion. The management of NTT, especially when necrosis is evident, remains controversial. While surgical exploration and unilateral orchidectomy are often recommended to prevent complications such as infection or malignancy, some advocate for conservative management due to the risks associated with anesthesia in neonates. This case also highlights the importance of contralateral orchidopexy to reduce the risk of future torsion in the unaffected testis. Overall, the case emphasizes the critical role of early diagnosis and timely intervention, which are essential to prevent complications, preserve fertility, and ensure optimal outcomes.