Relationship Of Low Temperature With Testicular Torsion

Ekıcı, Musa; Özgür, Berat Cem; Şentürk, Aykut Buğra; Nalbant, İsmail

doi:10.29271/jcpsp.2018.05.378

Cited by 7 publications

(5 citation statements)

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“…This result suggested us that seasons had no effect on the development of acute scrotum. It has been identified in a study that left testicle was more frequently torsioned (58%) (13). In also our study, TT was more frequently encountered in the left testicle in (75%) consistently with the literature.…”

Section: Discussionsupporting

confidence: 91%

Çocuklarda Testis Torsiyonu: 10 Yıllık Retrospektif Bir Çalışma

Gürsoy

Çelikkaya

Seçinti

et al. 2022

Türkiye Çocuk Hast Derg

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Objective:The purpose of the present study is to determine the clinical, radiological and pathological characteristics of testicular torsion patients, the intervention techniques applied according to time to hospital admission of the patient and testis-saving rates in the childhood age group. Material and Methods:This retrospective study included the patients aged between 0-18 years who applied to pediatric surgery clinic due to the complaint of abdominal pain or scrotal pain between January 2011 to January 2021 and were diagnosed with testicular torsion after evaluation. The patient age, hospital admission complaint, duration of the symptoms, month of hospital admission, lateralization of the affected testicle, preoperative diagnostic studies, type of the implemented intervention (orchiectomy/detorsion) and postoperative diagnosis were determined. Hematoxylin-Eosin-stained archive slides of the materials sent to pathology department for examination were reviewed by two pathologists. Results:In this period of 10 years; 28 patients aged between 0-18 years admitted to our hospital because of testicular torsion. Scrotal pain and tenderness were present in all the patients (100%). Of the patients; 4 (14.3%) were neonatal and 21 (75%) were between the ages 12-18 years. Testicular parenchyma could not be macroscopically selected in the examination of orchiectomy materials and the materials were hemorrhagic. Hemorrhagic infarction was detected by microscopic examination. Conclusion:Acute scrotum is a frequently seen surgical emergency in the childhood period. There are many entities that may cause acute scrotum; performing differential diagnosis accurately and timely can protect the patient from unnecessary surgery and testicular loss.

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Section: Discussionsupporting

confidence: 91%

Çocuklarda Testis Torsiyonu: 10 Yıllık Retrospektif Bir Çalışma

Gürsoy

Çelikkaya

Seçinti

et al. 2022

Türkiye Çocuk Hast Derg

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“…The study of Hoshino et al [18] found that over 75% of cases of TT occurred when the ambient temperature was below 15°C in Japan. Furthermore, Ekici et al [19] reported in their study that there were 14 (46.6%) cases of TT in the winter months, 7 (23.3%) in the spring months, 4 (13.3%) in the summer months, and 5 (16.6%) in the fall months. Acute TT in the winter was statistically significant.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Testicular Torsion and Identification of Predictors of Testicular Salvage in Children: A Retrospective Study in a Single Institution

et al. 2020

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Testicular torsion (TT) is a serious surgical emergency. Prompt diagnosis and treatment of TT are essential to improve the incidence of salvaged testes. The aim of this study was to evaluate the historical features, physical examination findings, laboratory tests, and ultrasound examinations in children with TT, as well as to identify the predictors of testicular salvage in children. Materials and Methods: We retrospectively reviewed the records of 136 males who presented with TT to our institution. Clinical findings, physical examinations, laboratory data, color Doppler ultrasound findings, operating results, and the results of followup were collected and analyzed. Patients with neonatal torsion, negative scrotal exploration, or testicular appendix torsion were excluded. A multivariable logistic regression model was used to identify predictors of testicular salvage. Receiver operator characteristics analyses were performed to determine the probability of a non-salvageable torsed testis based on time and degree of twisting. Results: A total of 136 children with TT were identified. Patients were aged from 1 to 16 years, with a mean age of 9.7 years (median, 12; range, 1-16 years). The peak incidences of TT were found between ages of 12 and 14 years. Acute TT is significantly more common in the winter. Testicular salvage occurred in 49 (36%) cases. Of the 49 cases of testicular salvage, 5 patients developed subsequent testicular atrophy. Cutoff values of 13.5 h and 530 degrees of torsion would provide sensitivities of 96 and 61%, with specificity of 80 and 70%, respectively. Multivariate analysis showed that time to surgery and degree of testicular twist were correlated with the risk of a non-salvageable testis. Conclusions: Testicular salvage can be predicted by the duration of symptoms along with degree of twisting. Early scrotal exploration based on careful physical examination decreases the risk of misdiagnosis of spermatic cord torsion. A certain percentage of children with TT presenting with lower abdominal pain should have their testicles checked to make sure that they do not have torsion, especially those visitors in cold season.

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“…A large number of studies reported that, worldwide, the delayed diagnosis and management of TT was quite common, and a relatively high proportion of TT patients proven to be delayed even in tertiary hospitals [ 7 , 8 ]. Aaron P. Bayne et al [ 1 ] and Christopher E. Bayne et al [ 9 ], in the United States, and Ekici et al [ 10 ] in Turkey, have investigated the clinical, socioeconomic and other factors associated with delayed management of TT, while there have no relevant reports among Chinese populations. Identifying the factors that cause delayed management of pediatric TT in China would help to establish targeted medical health-care plans, salvage affected testes, and eventually protect boys’ reproductive health.…”

Section: Introductionmentioning

confidence: 99%

Demographic, clinical, and socioeconomic factors associated with delayed diagnosis and management of pediatric testicular torsion in West China: a retrospective study of 301 cases in a single tertiary children’s hospital

Zhao

et al. 2021

BMC Pediatr

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Background To investigate the association between geographic, clinical, socioeconomic factors and delayed management of pediatric testicular torsion (TT) in West China. Methods A retrospective study was conducted on TT at Children’s Hospital of Chongqing Medical University in West China from November 2004 to December 2020. Univariate analysis and logistic regression analysis were conducted to determine the association between these factors and delayed management of TT. Results A total of 301 cases were included in this study. The misdiagnosis rate of TT in primary, secondary healthcare units and tertiary hospitals was 93.8, 71.1, and 8.9%, respectively. Approximately 26.9% of TT boys received timely surgical management (within 12 h from symptoms inset to surgery). Logistic regression analyses suggested the following factors were associated with delayed repair of TT: age less than 6 years (P = 0.001), with a history of symptoms progress (P = 0.001) or former treatment (P <0.001), absence of other diagnosis (P = 0.011) and those boys living far away from the main city zones (P <0.001). Conclusions Delayed surgical management for TT was more likely for boys with age less than 6 years, the absence of other diagnosis, with a history of former treatment or symptoms progress, and those living far away from the main city zone. To maximize the possibility of timely surgical management for TT, it is vital to strengthen the public awareness of TT and conduct continuously re-education and update physicians working at primary and secondary healthcare units.

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Relationship Of Low Temperature With Testicular Torsion

Abstract: Acute testicular torsion was seen more commonly in cold season with low temperature.

Cited by 7 publications

References 0 publications

Çocuklarda Testis Torsiyonu: 10 Yıllık Retrospektif Bir Çalışma

Çocuklarda Testis Torsiyonu: 10 Yıllık Retrospektif Bir Çalışma

Clinical Characteristics of Testicular Torsion and Identification of Predictors of Testicular Salvage in Children: A Retrospective Study in a Single Institution

Demographic, clinical, and socioeconomic factors associated with delayed diagnosis and management of pediatric testicular torsion in West China: a retrospective study of 301 cases in a single tertiary children’s hospital

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