Testicular torsion and weather conditions: analysis of 21,289 cases in Brazil

Korkes, Fernando; Cabral, Paulo Roberto dos Anjos; Alves, Caio Dal Moro; Savioli, Mariana Lorenzi; Pompeo, Antonio Carlos Lima

doi:10.1590/s1677-55382012000200010

Cited by 29 publications

(25 citation statements)

References 16 publications

(21 reference statements)

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“…Corroborating some [5,14], but not all studies [11][12][13], the data showed that temperature on days that patients presented with TT was not significantly lower than the mean atmospheric temperature in Fort Worth, Texas. Additionally, the mean atmospheric temperature did not differ by surgical outcome.…”

Section: Discussionmentioning

confidence: 79%

“…It has been suggested that, as the number of spermatic cord turns increases, blood flow to the affected testis decreases and time to inflict testicular vascular injury decreases [10]. Most controversially, some authors have found a higher number of TT during colder months [11][12][13], whereas others have not found this relationship [5,14].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Testicular torsion: A retrospective investigation of predictors of surgical outcomes and of remaining controversies

Castañeda-Sánchez

Tully

Shipman

et al. 2017

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Testicular torsion: A retrospective investigation of predictors of surgical outcomes and of remaining controversies

Castañeda-Sánchez

Tully

Shipman

et al. 2017

Journal of Pediatric Urology

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“…In contrast, Grushevsky et al in USA, determined that testicular torsion occurrence were more likely in the winter compared with the summer [18]. This finding was similar to the two decades study of Korkes et al in Brazil [22]. It was also demonstrated that temperature and humidity correlated the risk of testicular torsion according to findings of Srinivasan et al [5].…”

Section: Discussionmentioning

confidence: 51%

Clinical Findings of Patients Undergone Surgery for Testicular Torsion: A 12-Year Single Center Experience in Northern Iran

Shafi¹,

Zarghami²,

Aliramaji³

et al. 2014

OJU

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Introduction: Testicular torsion is a surgical emergency which requires early diagnosis and prompt surgical management to avoid testicular damage. The aim of this study is to survey the clinical findings and outcome of the patients treated for testicular torsion in a university hospital in Babol, northern Iran. Methods: In this cross sectional study, a retrospective survey of all cases presenting with acute scrotum and primarily diagnosed as testicular torsion was conducted during 2001 and 2012 in Babol, northern Iran. All 103 cases were reviewed and several clinical data, including duration of symptoms and operative findings were collected. Findings: Of 103 patients who presented to the emergency department with acute scrotum, the median age of the cases was 16.0 years. Thirty four percent of the patients presented emergency unit less than 6 hours from symptom exposure. Pain (95.1%) was the major symptom in all patients. Surgery revealed that 72 (70.9%) cases were diagnosed firmly as testicular torsion that 23 patients underwent orchidectomy for a necrotic torsed testis. There were significant differences between orchiectomized versus non-orchiectomized torsion cases in affected side, symptom presentation to operation time. Conclusion: According to our results more than half of the cases presented more than in the golden time. Late presentation to hospital was the major cause of delay leading to orchidectomy in patients with testicular torsion. Greater effort in health education and direct or selfreferal to hospital may reduce this delay.

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“…Preoperative anesthesia evaluation should be performed rapidly to shorten the waiting time for the operation in these patients. Although some studies have investigated the seasonal distribution of TT, their results were different from each other (1,2,3). Here, we aimed to examine the anesthetic management of cases operated in our clinic within five years and the results of their seasonal distribution.…”

Section: Introductionmentioning

confidence: 95%

Anesthetic management of testicular torsions and seasonal distribution: 5-year analysis

Doğukan¹,

Duran²,

Uludağ³

et al. 2020

Van Med J

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Introduction: Testicular torsion (TT) occurs when the testis rotates around the spermatic cord. It is a urological emergency that may result in the testicular loss if medical intervention is not immediately available. The anesthetic management of cases of TT operated in our clinic within five years and the results of their seasonal distribution have been discussed with the current literature. Material and Method: Fifty-seven patients, who were operated for TT by urology clinics at our hospital between January 2013 and December 2018, were included in the study. Patients were divided into two groups (group1: detorsion, group2: and orchiectomy) according to the surgical operation we underwent. Patient demographic data, the elapsed time from onset of symptoms to operation, ASA scores, anesthetic method, duration of hospital stay and seasonal distribution of cases were examined. Results: The mean age of the 50 patients operated due to testicular torsion was 19.86 ± 13.23 years. We used general anesthesia in 32 (64%) patients and spinal anesthesia in 18 (36%) patients. Detorsion was performed in 38 patients (76%) and orchiectomy in 12 patients (24%). The time elapsed from the onset of symptoms to the operation was 16.1 hours in patients undergoing detorsion and 30.1 hours in patients undergoing orchiectomy (p <0.05). The seasonal distribution shows that 6 patients (12%) were observed in summer, 20 (40%) in autumn, 9 (18%) in winter and 15 (30%) in spring. The incidence was higher in the cold weather conditions, but the difference was not statistically significant. There was no perioperative morbidity and mortality in the patients. Conclusion: Suspected testicular torsion is a seasonindependent clinical picture. In these cases where the time from the onset of symptoms to the operation is short, detorsion is sufficient. It is a patient population suitable for outpatient treatment, as the length of hospital stay is short.

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Testicular torsion and weather conditions: analysis of 21,289 cases in Brazil

Abstract: ARTICLE INFO ___________________________________________ _

Cited by 29 publications

References 16 publications

Testicular torsion: A retrospective investigation of predictors of surgical outcomes and of remaining controversies

Testicular torsion: A retrospective investigation of predictors of surgical outcomes and of remaining controversies

Clinical Findings of Patients Undergone Surgery for Testicular Torsion: A 12-Year Single Center Experience in Northern Iran

Anesthetic management of testicular torsions and seasonal distribution: 5-year analysis

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Testicular torsion and weather conditions: analysis of 21,289 cases in Brazil

Abstract: ARTICLE INFO _______________________________________________________________ _____________________

Cited by 29 publications

References 16 publications

Testicular torsion: A retrospective investigation of predictors of surgical outcomes and of remaining controversies

Testicular torsion: A retrospective investigation of predictors of surgical outcomes and of remaining controversies

Clinical Findings of Patients Undergone Surgery for Testicular Torsion: A 12-Year Single Center Experience in Northern Iran

Anesthetic management of testicular torsions and seasonal distribution: 5-year analysis

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Abstract: ARTICLE INFO ___________________________________________ _