• Shaogang Huang, Yefeng Zeng, Rui Xu, Yibin Fan, Xianbin Gu, Qiuling Miao, Yue Wang, Pengyu Chen, and Shoulin Li.
• Department of Urology, Shenzhen Children's Hospital, Futian District, Shenzhen 518000, Guangdong, People's Republic of China; Shenzhen Pediatrics Institute of Shantou University Medical College, Futian District, Shenzhen 518000, Guangdong, People's Republic of China.
• Am J Emerg Med. 2024 Nov 1; 85: 868986-89.

ObjectivesTo analyze the clinical characteristics, surgical management decisions, and outcomes of Neonatal testicular torsion (NTT) in order to offer guidance for future clinical practice.MethodsRetrospectively analyzed the clinical data of patients with NTT who were admitted and underwent surgery from January 2008 to October 2023.ResultsA total of 24 neonates were enrolled in this study, all of whom were unilateral cases. Age of onset was 0 d (IQR: 0-1.8), while the median duration of symptoms was 73 h (IQR: 26-199). Clinical manifestation included enlarged scrotum (75 %), changes in scrotal color (79 %), and crying upon palpation (17 %). All patients underwent urgent bilateral exploration and performed by orchiectomy and contralateral orchiopexy.ConclusionNTT primarily occurs prenatally with insidious manifestations, often leading to omission or misdiagnosis. The testicular salvage rate is extremely low. Physicians need to attach importance to neonatal testicular examination, improve the vigilance of NTT. Early bilateral exploration does not necessarily save the affected testes, but it is more important to prevent damage to the contralateral one.Copyright © 2024 Elsevier Inc. All rights reserved.

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