Perinatal testicular torsion: New insights and policy advice

Perinatal testicular torsion is a rare event with a very poor salvage rate by neonatal emergent operation. In addition, there is a small risk of asynchronous contralateral testicular torsion. In case of a suspected testicular torsion we advise urgent consultation of a pediatric urologist from a children's hospital with neonatal anesthetic care. Then, the prospect for 'salvage' of the testicle and a possible indication for emergent intervention can be assessed. The goal of a (semi-)emergent exploration is 'salvage' of the affected testicle and/or prevention of contralateral asynchronous torsion.