{"id":"https://openalex.org/W7223965593","doi":"https://doi.org/10.3389/fruro.2026.2004112","title":"Commentary: Neonatal testicular torsion: refining the role of Doppler and contralateral orchidopexy","display_name":"Commentary: Neonatal testicular torsion: refining the role of Doppler and contralateral orchidopexy","publication_year":2026,"publication_date":"2026-10-27","ids":{"openalex":"https://openalex.org/W7223965593","doi":"https://doi.org/10.3389/fruro.2026.2004112","pmid":"https://pubmed.ncbi.nlm.nih.gov/43010966","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13747739"},"language":"en","primary_location":{"id":"doi:10.3389/fruro.2026.2004112","doi":"https://doi.org/10.3389/fruro.2026.2004112","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fruro.2026.2004112","pdf_url":"https://www.frontiersin.org/journals/urology/articles/10.3389/fruro.2026.2004112/pdf","source":{"id":"https://openalex.org/S4210224467","display_name":"Frontiers in Urology","issn_l":"2673-9828","issn":["2673-9828"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Urology","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7223965593"],"child_works_count":0,"type":"editorial","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/urology/articles/10.3389/fruro.2026.2004112/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113924688","display_name":"Cyrine Saadi","orcid":"https://orcid.org/0009-0009-8655-7881","observed_orcids":["https://orcid.org/0009-0009-8655-7881"]},"institutions":[{"id":"https://openalex.org/I4210124633","display_name":"Habib hospital Thameur","ror":"https://ror.org/0393ghj09","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210124633"]}],"countries":["TN"],"is_corresponding":true,"raw_author_name":"Cyrine Saadi","raw_affiliation_strings":["Department of Pediatric Surgery, Habib Thameur Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Surgery, Habib Thameur Hospital","institution_ids":["https://openalex.org/I4210124633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046261700","display_name":"Souha Laarif","orcid":"https://orcid.org/0000-0002-8834-4005","observed_orcids":["https://orcid.org/0000-0002-8834-4005"]},"institutions":[{"id":"https://openalex.org/I4210124633","display_name":"Habib hospital Thameur","ror":"https://ror.org/0393ghj09","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210124633"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"Souha Laarif","raw_affiliation_strings":["Department of Pediatric Surgery, Habib Thameur Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Surgery, Habib Thameur Hospital","institution_ids":["https://openalex.org/I4210124633"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5078796634","display_name":"Aida Daib","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210124633","display_name":"Habib hospital Thameur","ror":"https://ror.org/0393ghj09","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210124633"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"Aida Daib","raw_affiliation_strings":["Department of Pediatric Surgery, Habib Thameur Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Surgery, Habib Thameur Hospital","institution_ids":["https://openalex.org/I4210124633"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5088581917","display_name":"Youssef Hellal","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210124633","display_name":"Habib hospital Thameur","ror":"https://ror.org/0393ghj09","country_code":"TN","type":"healthcare","lineage":["https://openalex.org/I4210124633"]}],"countries":["TN"],"is_corresponding":false,"raw_author_name":"Youssef Hellal","raw_affiliation_strings":["Department of Pediatric Surgery, Habib Thameur Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Surgery, Habib Thameur Hospital","institution_ids":["https://openalex.org/I4210124633"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5113924688"],"corresponding_institution_ids":["https://openalex.org/I4210124633"],"apc_list":{"value":1950,"currency":"CHF","value_usd":2353},"apc_paid":{"value":1950,"currency":"CHF","value_usd":2353},"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"6","issue":null,"first_page":"2004112","last_page":"2004112"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11069","display_name":"Testicular diseases and treatments","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11069","display_name":"Testicular diseases and treatments","score":0.9878000020980835,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11815","display_name":"Urological Disorders and Treatments","score":0.002199999988079071,"subfield":{"id":"https://openalex.org/subfields/2748","display_name":"Urology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11956","display_name":"Sexual Differentiation and Disorders","score":0.0015999999595806003,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/neonatal-testicular-torsion","display_name":"neonatal testicular torsion","score":0.9990000128746033},{"id":"https://openalex.org/keywords/doppler-ultrasound","display_name":"Doppler ultrasound","score":0.9660000205039978},{"id":"https://openalex.org/keywords/testicular-ischemia","display_name":"testicular ischemia","score":0.8040000200271606},{"id":"https://openalex.org/keywords/testicular-salvage","display_name":"testicular salvage","score":0.8519999980926514},{"id":"https://openalex.org/keywords/delayed-diagnosis","display_name":"delayed diagnosis","score":0.5040000081062317}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8025000095367432},{"id":"https://openalex.org/C77461463","wikidata":"https://www.wikidata.org/wiki/Q7827201","display_name":"Torsion (gastropod)","level":2,"score":0.6255999803543091},{"id":"https://openalex.org/C2779170295","wikidata":"https://www.wikidata.org/wiki/Q1434575","display_name":"Testicular torsion","level":2,"score":0.5774000287055969},{"id":"https://openalex.org/C142757262","wikidata":"https://www.wikidata.org/wiki/Q76436","display_name":"Doppler effect","level":2,"score":0.5601999759674072},{"id":"https://openalex.org/C529618451","wikidata":"https://www.wikidata.org/wiki/Q234904","display_name":"Ultrasonography","level":2,"score":0.46630001068115234},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4569000005722046},{"id":"https://openalex.org/C158846371","wikidata":"https://www.wikidata.org/wiki/Q1642137","display_name":"Blood flow","level":2,"score":0.4147999882698059},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.3758000135421753},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.36559998989105225},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.33340001106262207},{"id":"https://openalex.org/C2908953049","wikidata":"https://www.wikidata.org/wiki/Q1434575","display_name":"Spermatic Cord Torsion","level":3,"score":0.3138999938964844},{"id":"https://openalex.org/C2775855180","wikidata":"https://www.wikidata.org/wiki/Q109374671","display_name":"Duplex ultrasonography","level":3,"score":0.28679999709129333},{"id":"https://openalex.org/C541997718","wikidata":"https://www.wikidata.org/wiki/Q188151","display_name":"Ischemia","level":2,"score":0.28380000591278076},{"id":"https://openalex.org/C2776268601","wikidata":"https://www.wikidata.org/wiki/Q968808","display_name":"Occlusion","level":2,"score":0.26170000433921814},{"id":"https://openalex.org/C2988078883","wikidata":"https://www.wikidata.org/wiki/Q109374671","display_name":"Doppler ultrasound","level":2,"score":0.2565999925136566}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fruro.2026.2004112","doi":"https://doi.org/10.3389/fruro.2026.2004112","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fruro.2026.2004112","pdf_url":"https://www.frontiersin.org/journals/urology/articles/10.3389/fruro.2026.2004112/pdf","source":{"id":"https://openalex.org/S4210224467","display_name":"Frontiers in Urology","issn_l":"2673-9828","issn":["2673-9828"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Urology","raw_type":"journal-article"},{"id":"pmid:43010966","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43010966","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in urology","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13747739","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13747739/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Urol","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:dcdac79c060142f2893a7832e3f628e8","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/dcdac79c060142f2893a7832e3f628e8","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Urology, Vol 6 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fruro.2026.2004112","doi":"https://doi.org/10.3389/fruro.2026.2004112","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fruro.2026.2004112","pdf_url":"https://www.frontiersin.org/journals/urology/articles/10.3389/fruro.2026.2004112/pdf","source":{"id":"https://openalex.org/S4210224467","display_name":"Frontiers in Urology","issn_l":"2673-9828","issn":["2673-9828"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Urology","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7223965593.pdf","grobid_xml":"https://content.openalex.org/works/W7223965593.grobid-xml"},"referenced_works_count":4,"referenced_works":["https://openalex.org/W2087693434","https://openalex.org/W3116674590","https://openalex.org/W4407359269","https://openalex.org/W7154329417"],"related_works":["https://openalex.org/W7154329417","https://openalex.org/W4384828738","https://openalex.org/W2123538759","https://openalex.org/W2154835910","https://openalex.org/W2103414211","https://openalex.org/W4205095960","https://openalex.org/W3217460762","https://openalex.org/W2367595529","https://openalex.org/W2053668593","https://openalex.org/W2160137633"],"abstract_inverted_index":{"First,":[0],"the":[1,32,43,62,81,109,123,130,149,184,216,228,248,257,273,281,304,341],"absence":[2,110,150],"of":[3,8,46,66,83,111,122,126,134,151,158,172,193,218,232,266,306,324,330,335,343,350,356],"Doppler":[4,47,54,78,89,353],"flow":[5,36,55,79],"in":[6,61,73,179],"28":[7],"29":[9,135],"unilaterally":[10],"affected":[11],"testes":[12,260],"(96.55%)":[13],"should":[14,91,116],"be":[15,118,212],"interpreted":[16,119],"cautiously.":[17],"Because":[18],"this":[19,162,188,209],"was":[20],"a":[21,100,152,168,290],"surgically":[22],"confirmed":[23],"cohort,":[24],"predominantly":[25],"comprising":[26],"non-viable":[27],"testes,":[28],"these":[29],"data":[30],"demonstrate":[31],"association":[33],"between":[34,283],"absent":[35],"and":[37,182,285,332,360],"established":[38],"ischemia":[39,297],"but":[40,287],"cannot":[41],"establish":[42],"diagnostic":[44,326],"sensitivity":[45],"ultrasonography":[48,90],"for":[49,102,214,247],"early":[50],"NTT.":[51],"Importantly,":[52],"preserved":[53,76],"does":[56,201],"not":[57,117,202,278,302],"necessarily":[58,203],"exclude":[59],"torsion":[60,69,84,113,139,175,194,206,242,294],"neonatal":[63],"period.":[64],"Cases":[65],"asynchronous":[67,241],"perinatal":[68],"have":[70],"been":[71],"reported":[72],"which":[74],"apparently":[75],"preoperative":[77],"preceded":[80],"diagnosis":[82,200,284],"at":[85,199],"exploration.":[86],"[1]":[87],"Therefore,":[88],"remain":[92,338],"an":[93,244],"adjunct":[94],"to":[95],"clinical":[96,105,321],"assessment":[97,157],"rather":[98],"than":[99],"prerequisite":[101],"exploration":[103],"when":[104,205],"suspicion":[106],"is":[107],"high.Second,":[108],"contralateral":[112,127,141,146,180,249,336],"during":[114],"follow-up":[115],"as":[120,243],"evidence":[121,186],"preventive":[124],"efficacy":[125],"orchidopexy.":[128],"In":[129,252],"present":[131],"series,":[132,256],"23":[133],"patients":[136,226],"with":[137,143,236,264],"unilateral":[138],"underwent":[140],"fixation,":[142],"no":[144],"subsequent":[145],"torsion.":[147],"However,":[148],"comparable":[153],"unfixed":[154],"group":[155],"prevents":[156],"whether":[159],"fixation":[160,181],"reduced":[161],"risk.":[163],"Contemporary":[164],"practice":[165],"remains":[166],"heterogeneous;":[167],"recent":[169,291],"national":[170],"analysis":[171],"pediatric":[173],"testicular":[174,233,318,362],"demonstrated":[176,227],"substantial":[177],"variation":[178],"highlighted":[183],"limited":[185],"supporting":[187],"practice.":[189],"[2]":[190],"The":[191],"timing":[192,349],"further":[195],"complicates":[196],"interpretation.":[197],"Age":[198],"indicate":[204],"occurred,":[207],"although":[208],"distinction":[210],"may":[211],"crucial":[213],"understanding":[215],"possibility":[217,274],"salvage.":[219,319],"A":[220],"large":[221],"literature":[222],"review":[223],"including":[224],"1,336":[225],"very":[229],"high":[230],"rate":[231],"loss":[234],"associated":[235],"NTT":[237,314],"while":[238],"also":[239],"identifying":[240],"important":[245],"concern":[246],"testis.":[250],"[3]":[251],"Sun":[253,307],"et":[254,308],"al.'s":[255],"few":[258],"viable":[259],"included":[261],"low-degree":[262],"torsions":[263],"restoration":[265],"perfusion":[267],"after":[268],"detorsion.":[269],"These":[270,299],"observations":[271],"raise":[272],"that":[275,313],"salvage":[276],"depends":[277],"simply":[279],"on":[280,288],"interval":[282],"surgery,":[286],"recognizing":[289],"or":[292],"atypical":[293],"before":[295],"irreversible":[296],"develops.":[298],"considerations":[300],"do":[301],"diminish":[303],"contribution":[305],"al.":[309],"Rather,":[310],"they":[311],"emphasize":[312],"management":[315,368],"extends":[316],"beyond":[317],"Prompt":[320],"recognition,":[322],"avoidance":[323],"unnecessary":[325],"delay,":[327,359],"appropriate":[328],"use":[329],"Doppler,":[331],"careful":[333],"consideration":[334],"protection":[337],"central.":[339],"Given":[340],"rarity":[342],"NTT,":[344],"multicenter":[345],"registries":[346],"incorporating":[347],"presumed":[348],"torsion,":[351,357],"standardized":[352],"findings,":[354],"degree":[355],"treatment":[358],"long-term":[361],"outcomes":[363],"could":[364],"help":[365],"refine":[366],"current":[367],"strategies.":[369]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-10-28T00:00:00"}