Neonatal testicular torsion after cesarean section with spinal anesthesia: a presentation of two cases

Testicular torsion is a medical emergency appearing at any age, the prevalence of which in the neonatal period comprises 10% of the whole cases occurring at any point in life. Among all the cases being diagnosed at birth, 70% has occurred in the prenatal period and 30% in the neonatal period. Generally, the most common symptoms of testicular torsion during postnatal period include acute pain and swelling of the testis, but in the neonatal period it is often manifested by firmness and swelling of the testicle. Accordingly, careful attention of the physician and the medical staff while examining the newborn results in quick diagnosis and timely medical treatment of the torsion. This medical intervention prevents irreversible necrosis of the affected testis-the main consequence of the torsion-and helps to restore its function. The major purpose of this study was to draw the attention of physicians and medical teams to prompt diagnosis of testicular torsion. This study presents two newborn babies with testicular torsion, diagnosed at early hours after delivery, who underwent surgical treatment within first 8-10 hours after birth.