Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19
Purpose. To assess whether the COVID-19 pandemic had an influence on presentation of testicular torsion and/or increase in the frequency of orchiectomy. Patients and Methods. This retrospective study included boys under 18 years of age with testicular torsion divided in two groups: pre-COVID operate...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Emergency Medicine International |
| Online Access: | http://dx.doi.org/10.1155/2023/9960452 |
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| author | Marta Komarowska Małgorzata Kowalska Kamil Grubczak Alicja Pawelczyk Adam Hermanowicz Wojciech Debek Ewa Matuszczak |
| author_facet | Marta Komarowska Małgorzata Kowalska Kamil Grubczak Alicja Pawelczyk Adam Hermanowicz Wojciech Debek Ewa Matuszczak |
| author_sort | Marta Komarowska |
| collection | DOAJ |
| description | Purpose. To assess whether the COVID-19 pandemic had an influence on presentation of testicular torsion and/or increase in the frequency of orchiectomy. Patients and Methods. This retrospective study included boys under 18 years of age with testicular torsion divided in two groups: pre-COVID operated in 2019 vs. COVID-19 group from 2020. We compared demographic data as well as local and general symptoms. We analyzed additional tests, intraoperative findings, length of operation and hospitalization, and followup. Results. We analyzed the data collected from 44 patients (24 boys from first group vs. 20 boys from second group). The median age was 13.4 years vs. 14.5 years in the latter. The median time of symptoms duration was 6.5 hours and 8.5 hours, respectively. The main manifestation was testicular pain without additional signs. The results of the laboratory tests did not reflect local advancement. In the 2019 group, Doppler ultrasound showed absent blood flow in the affected testicle in 62% vs. 80% in 2020. The mean time from admission to surgery was virtually identical: 75 minutes in 2019 vs. 76 minutes in 2020. The mean duration of scrotal revision was similar in both groups. There was only one significant difference: the degree of twisting. In 2019, the mean was 360° vs. 540° in 2020. Incidence of orchiectomy also did not significantly vary between the analyzed time periods, with 21% during the pandemic and 35% during the pre-COVID-19 period. Conclusion. We did not observe an increase in the number of testicular torsion cases during the COVID-19 pandemic. Most importantly, the rates of orchiectomy did not significantly differ between the patients with testicular torsion presenting during the COVID-19 outbreak. |
| format | Article |
| id | doaj-art-dac897bd3901434dbd25ea6db53a4024 |
| institution | Kabale University |
| issn | 2090-2859 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Emergency Medicine International |
| spelling | doaj-art-dac897bd3901434dbd25ea6db53a40242025-02-03T06:45:11ZengWileyEmergency Medicine International2090-28592023-01-01202310.1155/2023/9960452Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19Marta Komarowska0Małgorzata Kowalska1Kamil Grubczak2Alicja Pawelczyk3Adam Hermanowicz4Wojciech Debek5Ewa Matuszczak6Department of Pediatric Surgery and UrologyDepartment of Pediatric Surgery and UrologyDepartment of Regenerative Medicine and Immune RegulationDepartment of Pediatric Surgery and UrologyDepartment of Pediatric Surgery and UrologyDepartment of Pediatric Surgery and UrologyDepartment of Pediatric Surgery and UrologyPurpose. To assess whether the COVID-19 pandemic had an influence on presentation of testicular torsion and/or increase in the frequency of orchiectomy. Patients and Methods. This retrospective study included boys under 18 years of age with testicular torsion divided in two groups: pre-COVID operated in 2019 vs. COVID-19 group from 2020. We compared demographic data as well as local and general symptoms. We analyzed additional tests, intraoperative findings, length of operation and hospitalization, and followup. Results. We analyzed the data collected from 44 patients (24 boys from first group vs. 20 boys from second group). The median age was 13.4 years vs. 14.5 years in the latter. The median time of symptoms duration was 6.5 hours and 8.5 hours, respectively. The main manifestation was testicular pain without additional signs. The results of the laboratory tests did not reflect local advancement. In the 2019 group, Doppler ultrasound showed absent blood flow in the affected testicle in 62% vs. 80% in 2020. The mean time from admission to surgery was virtually identical: 75 minutes in 2019 vs. 76 minutes in 2020. The mean duration of scrotal revision was similar in both groups. There was only one significant difference: the degree of twisting. In 2019, the mean was 360° vs. 540° in 2020. Incidence of orchiectomy also did not significantly vary between the analyzed time periods, with 21% during the pandemic and 35% during the pre-COVID-19 period. Conclusion. We did not observe an increase in the number of testicular torsion cases during the COVID-19 pandemic. Most importantly, the rates of orchiectomy did not significantly differ between the patients with testicular torsion presenting during the COVID-19 outbreak.http://dx.doi.org/10.1155/2023/9960452 |
| spellingShingle | Marta Komarowska Małgorzata Kowalska Kamil Grubczak Alicja Pawelczyk Adam Hermanowicz Wojciech Debek Ewa Matuszczak Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19 Emergency Medicine International |
| title | Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19 |
| title_full | Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19 |
| title_fullStr | Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19 |
| title_full_unstemmed | Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19 |
| title_short | Situation of Pediatric Patients with Testicular Torsion in Times of COVID-19 |
| title_sort | situation of pediatric patients with testicular torsion in times of covid 19 |
| url | http://dx.doi.org/10.1155/2023/9960452 |
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