Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in Management
Background. Prenatal testicular torsion (PTT) is exceedingly rare in intrauterine development, often diagnosed at the time of birth and very rarely diagnosed in utero during routine gestational ultrasound. As a result, incidence is unknown, and there exists no consensus regarding the pathophysiology...
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| Format: | Article |
| Language: | English |
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Wiley
2021-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2021/8825763 |
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| author | Michael Gerbo Chad Crigger Yasamin Samadi Michael C. Ost Osama Al-Omar |
| author_facet | Michael Gerbo Chad Crigger Yasamin Samadi Michael C. Ost Osama Al-Omar |
| author_sort | Michael Gerbo |
| collection | DOAJ |
| description | Background. Prenatal testicular torsion (PTT) is exceedingly rare in intrauterine development, often diagnosed at the time of birth and very rarely diagnosed in utero during routine gestational ultrasound. As a result, incidence is unknown, and there exists no consensus regarding the pathophysiology of this phenomenon nor universally recognized algorithms and guidelines regarding its diagnosis and management. Case Presentation. We present the case of an antenatally diagnosed torsion and our subsequent management which included ipsilateral orchiectomy and prophylactic contralateral orchiopexy via a scrotal approach. Conclusion. While controversy regarding surgical intervention in patients with unilateral PTT exists due to poor salvage rates—estimated to be less than 1%—the risk of anorchia is higher in affected patients due to limitations in the accuracy of detecting bilateral testicular involvement. Risk of misdiagnosis of bilaterality may lead to lasting sequelae such as infertility and devastating psychological consequences for affected patients, supporting the need for surgical exploration, as was performed in our case. |
| format | Article |
| id | doaj-art-070faab846a341ecb729428024c204ad |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-070faab846a341ecb729428024c204ad2025-02-03T00:58:55ZengWileyCase Reports in Pediatrics2090-68032090-68112021-01-01202110.1155/2021/88257638825763Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in ManagementMichael Gerbo0Chad Crigger1Yasamin Samadi2Michael C. Ost3Osama Al-Omar4West Virginia University Department of Urology, Division Pediatric Urology, Suite 6300, Health Sciences Center, Morgantown, WV 26506, USAWest Virginia University Department of Urology, Division Pediatric Urology, Suite 6300, Health Sciences Center, Morgantown, WV 26506, USAWest Virginia University Department of Urology, Division Pediatric Urology, Suite 6300, Health Sciences Center, Morgantown, WV 26506, USAWest Virginia University Department of Urology, Division Pediatric Urology, Suite 6300, Health Sciences Center, Morgantown, WV 26506, USAWest Virginia University Department of Urology, Division Pediatric Urology, Suite 6300, Health Sciences Center, Morgantown, WV 26506, USABackground. Prenatal testicular torsion (PTT) is exceedingly rare in intrauterine development, often diagnosed at the time of birth and very rarely diagnosed in utero during routine gestational ultrasound. As a result, incidence is unknown, and there exists no consensus regarding the pathophysiology of this phenomenon nor universally recognized algorithms and guidelines regarding its diagnosis and management. Case Presentation. We present the case of an antenatally diagnosed torsion and our subsequent management which included ipsilateral orchiectomy and prophylactic contralateral orchiopexy via a scrotal approach. Conclusion. While controversy regarding surgical intervention in patients with unilateral PTT exists due to poor salvage rates—estimated to be less than 1%—the risk of anorchia is higher in affected patients due to limitations in the accuracy of detecting bilateral testicular involvement. Risk of misdiagnosis of bilaterality may lead to lasting sequelae such as infertility and devastating psychological consequences for affected patients, supporting the need for surgical exploration, as was performed in our case.http://dx.doi.org/10.1155/2021/8825763 |
| spellingShingle | Michael Gerbo Chad Crigger Yasamin Samadi Michael C. Ost Osama Al-Omar Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in Management Case Reports in Pediatrics |
| title | Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in Management |
| title_full | Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in Management |
| title_fullStr | Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in Management |
| title_full_unstemmed | Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in Management |
| title_short | Prenatally Diagnosed Testicular Torsion: A Rare Condition That Causes Dilemma in Management |
| title_sort | prenatally diagnosed testicular torsion a rare condition that causes dilemma in management |
| url | http://dx.doi.org/10.1155/2021/8825763 |
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