Editing Acute Scrotum (section)

=== Extravaginal Spermatic Cord Torsion (Perinatal Testicular Torsion) ===
*'''Perinatal spermatic cord torsion is a term applied to infants regardless of whether the event occurred prenatally''' (hours, days, weeks, months), '''during delivery, or postpartum'''.
*'''Torsion of the entire cord occurs before fixation of the tunica vaginalis and dartos within the scrotum (extravaginal).'''
*'''Most commonly occurs well before delivery, yielding a “vanishing” testis or a hemosiderin-containing nubbin in the scrotum or less commonly in the inguinal canal.'''
*'''The testis that sustains loss of blood supply close to delivery is a hard, painless testis fixed to the overlying erythematous or dark scrotal skin with or without edema'''
*'''[Urgent exploration is not needed.] However, if torsion is suspected after a normal postnatal scrotal examination, then prompt exploration should be performed as for intravaginal torsion.''' If torsion is confirmed, contralateral scrotal exploration with testicular fixation should be performed.