Rub Ronen, Lidawi Ghalib, Laukhtina Ekaterina, Asali Mohsin, Majdoub Muhammad
Department of Urology, Hillel Yaffe Medical Center, Ha-Shalom St, 38100, Hadera, Israel.
Department of Urology, Medical University of Vienna, Vienna, Austria.
Int J Biometeorol. 2023 May;67(5):857-863. doi: 10.1007/s00484-023-02460-0. Epub 2023 Mar 28.
Nowadays, there is confusing evidence in the literature regarding the association between seasonal variations and events of testicular torsion (TT). We attempted to assess the correlation between seasonal variations, including season, ambient temperatures, and humidity levels to onset and laterality of testicular torsion. We conducted a retrospective review of patients diagnosed with testicular torsion and confirmed surgically between January 2009 and December 2019, at Hillel Yaffe Medical Center. Weather data was collected from meteorological observation stations near the hospital. TT incidents were stratified into five temperature categories (< 15 °C, 15-20 °C, 20-25 °C, 25-30 °C, > 30 °C) and into two categories of humidity (≤ 50%, > 50%). Potential associations between TT and seasonal variations were investigated. Of 235 patients diagnosed with TT, 156 (66%) were children and adolescents and 79 (34%) were adults. In both groups, rate of TT incidents increased in winter and fall months. Significant correlation between TT and temperatures below 15 °C was observed in both groups; OR 3.3 [95% IC 1.54-7.07], p = 0.002 in children and adolescents and 3.77 [1.79-7.94], p < 0.001) in adults. The correlation between TT and humidity was non-significant in both groups. Among children and adolescents left-sided TT was observed in most of the cases, with strong correlation to lower temperatures; OR 3.15 [1.34-7.40], p = 0.008. Higher rates of acute TT were observed in patients admitted to the emergency department (ED) during the cold seasons in Israel. Significant association was observed between left-side TT and temperatures below 15 °C in the children and adolescents' group. Our findings suggest that there might be a predilection for TT occurrence in cold weather, particularly left-side laterality among children and adolescents.
目前，文献中关于季节变化与睾丸扭转（TT）事件之间的关联存在相互矛盾的证据。我们试图评估季节变化（包括季节、环境温度和湿度水平）与睾丸扭转的发病及扭转侧别之间的相关性。我们对2009年1月至2019年12月期间在希勒尔·雅法医疗中心确诊并经手术证实为睾丸扭转的患者进行了回顾性研究。天气数据从医院附近的气象观测站收集。将睾丸扭转事件分为五个温度类别（<15°C、15 - 20°C、20 - 25°C、25 - 30°C、>30°C）和两个湿度类别（≤50%、>50%）。研究了睾丸扭转与季节变化之间的潜在关联。在235例诊断为睾丸扭转的患者中，156例（66%）为儿童和青少年，79例（34%）为成年人。在这两组中，睾丸扭转事件的发生率在冬季和秋季月份均有所增加。在两组中均观察到睾丸扭转与低于15°C的温度之间存在显著相关性；儿童和青少年组的比值比为3.3 [95%置信区间1.54 - 7.07]，p = 0.002，成人组为3.77 [1.79 - 7.94]，p < 0.001）。两组中睾丸扭转与湿度之间的相关性均不显著。在儿童和青少年中，大多数病例观察到左侧睾丸扭转，与较低温度有很强的相关性；比值比为3.15 [1.34 - 7.40]，p = 0.008。在以色列寒冷季节期间入住急诊科（ED）的患者中观察到急性睾丸扭转的发生率较高。在儿童和青少年组中，观察到左侧睾丸扭转与低于15°C的温度之间存在显著关联。我们的研究结果表明，寒冷天气可能更容易发生睾丸扭转，尤其是儿童和青少年中的左侧扭转。
