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Surge in testicular torsion in pediatric patients during the COVID-19 pandemic.
Shields, Lisa B E; Daniels, Michael W; Peppas, Dennis S; White, Jeffrey T; Mohamed, Ahmad Z; Canalichio, Katie; Rosenberg, Shilo; Rosenberg, Eran.
  • Shields LBE; Norton Neuroscience Institute, Norton Healthcare, 210 East Gray Street, Suite 1102, Louisville, KY 40202, USA.
  • Daniels MW; Department of Bioinformatics & Biostatistics, University of Louisville, Louisville KY 40292 USA.
  • Peppas DS; Norton Children's Urology, Norton Healthcare, Louisville, KY 40207, USA.
  • White JT; Norton Children's Urology, Norton Healthcare, Louisville, KY 40207, USA.
  • Mohamed AZ; Department of Urology, University of Louisville School of Medicine, Louisville, KY 40202, USA.
  • Canalichio K; Norton Children's Urology, Norton Healthcare, Louisville, KY 40207, USA.
  • Rosenberg S; Department of Urology, Keck School of Medicine of USC, Los Angeles, CA 90033, USA.
  • Rosenberg E; Norton Children's Urology, Norton Healthcare, Louisville, KY 40207, USA. Electronic address: dr.rosenberg.e@gmail.com.
J Pediatr Surg ; 2021 Jul 16.
Article in English | MEDLINE | ID: covidwho-1313276
ABSTRACT

BACKGROUND:

Testicular torsion is a pediatric surgical emergency, and prompt diagnosis and treatment is imperative. During the COVID-19 pandemic, pediatric patients with symptoms of testicular torsion may be reluctant to seek medical care which increases the likelihood of delayed presentation and the need for an orchiectomy. This observational study sought to determine whether there was a higher number of testicular torsion cases during COVID-19.

METHODS:

As the first patient with COVID-19 was admitted to our facility on March 6, 2020, we identified male children ages 1-18 years with testicular torsion between March 1-December 31, 2020 (during COVID-19) compared to the same time period between 2015 and 2019 (prior to COVID-19). All patients were evaluated at our Institution's Emergency Department by a pediatric urologist.

RESULTS:

There were 38 cases of testicular torsion between March 1-December 31, 2020 compared to 15.8 cases on average during the same 10-month period between 2015 and 2019 (a total of 79 cases). There was a statistically significant increase in testicular torsion cases during the COVID-19 pandemic compared to equivalent time periods in 2015-2019 (38 vs. 15.8, p = 0.05). Patients with testicular torsion during the COVID-19 pandemic were younger, had a longer duration of symptoms, and had a higher number of orchiectomies (although not statistically significant).

CONCLUSION:

During the COVID-19 pandemic, an escalation in testicular torsion cases was observed. Timely assessment, diagnosis, and surgery are crucial to prevent testicular loss and potential infertility in the future. Further evaluation is needed to elucidate the surge in testicular torsion and possible mechanisms.
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Full text: Available Collection: International databases Database: MEDLINE Language: English Year: 2021 Document Type: Article Affiliation country: J.jpedsurg.2021.07.008

Full text: Available Collection: International databases Database: MEDLINE Language: English Year: 2021 Document Type: Article Affiliation country: J.jpedsurg.2021.07.008