Prognosis

Excellent prognosis and retention of ovarian function is expected with timely surgical intervention. With minimally invasive procedures such as laparoscopy and unwinding of the adnexa, complete recovery of normal ovarian function and fertility is expected.[58][59][60]

Fertility

Many studies have shown evidence of subsequent ovarian function from the affected ovary.[3][20][58][61][65][68][74][75] In one study, ovarian function returned in 93% of patients.[3][68] These results are replicated in children treated conservatively for ovarian torsion.[17][57][59][75][76]

Recurrence

The exact risk of recurrent ipsilateral or asynchronous contralateral ovarian torsion is not known. It seems to range from 2% to 5%.[18][67] Recurrence is more common in children with no underlying pathology found at the time of ovarian torsion surgery, with the risk reported from 2% to 35%.[17][18][77] Should torsion recur, treatment is the same.

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