Is Preoperative Antimicrobial Prophylaxis Necessary in Testicular Torsion Surgery? Results from the National Surgical Quality Improvement Program Pediatric
Topic overview
This NSQIP-P database study of 614 pediatric patients found no significant difference in surgical site infections, readmissions, or reoperations between testicular torsion surgeries performed with versus without preoperative antibiotic prophylaxis. The findings suggest limited clinical benefit of routine antimicrobial prophylaxis for this low-complication procedure.
Key takeaways
- - Surgical antimicrobial prophylaxis showed no significant benefit in reducing SSI, readmission, or reoperation rates after testicular torsion surgery. - Postoperative complication rates were extremely low in both SAP and non-SAP groups (614 patients, only 1 SSI observed total). - This NSQIP-P analysis suggests routine preoperative antibiotics may be unnecessary for testicular detorsion procedures. - Despite lack of evidence supporting benefit, SAP continues to be administered in over half of testicular torsion cases (52% in this cohort). - Eliminating routine SAP in testicular torsion surgery could reduce antibiotic exposure without compromising patient safety.
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How to cite: GlobalCastMD. Is Preoperative Antimicrobial Prophylaxis Necessary in Testicular Torsion Surgery? Results from the National Surgical Quality Improvement Program Pediatric. GlobalCastMD Medical Library. 2026-01-22. https://library.globalcastmd.com/article/11415
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