Komarowska Marta, Kowalska Małgorzata, Grubczak Kamil, Pawelczyk Alicja, Hermanowicz Adam, Debek Wojciech, Matuszczak Ewa
Department of Pediatric Surgery and Urology, Medical University of Bialystok, Bialystok, Poland.
Department of Regenerative Medicine and Immune Regulation, Medical University of Bialystok, Bialystok, Poland.
Emerg Med Int. 2023 May 8;2023:9960452. doi: 10.1155/2023/9960452. eCollection 2023.
To assess whether the COVID-19 pandemic had an influence on presentation of testicular torsion and/or increase in the frequency of orchiectomy. 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. 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. 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.
评估2019冠状病毒病大流行是否对睾丸扭转的表现及/或睾丸切除术频率的增加有影响。这项回顾性研究纳入了18岁以下患有睾丸扭转的男孩，分为两组：2019年手术的非2019冠状病毒病组与2020年的2019冠状病毒病组。我们比较了人口统计学数据以及局部和全身症状。我们分析了其他检查、术中发现、手术和住院时间以及随访情况。我们分析了从44例患者（第一组24名男孩，第二组20名男孩）收集的数据。中位年龄分别为13.4岁和14.5岁。症状持续时间的中位数分别为6.5小时和8.5小时。主要表现为睾丸疼痛，无其他体征。实验室检查结果未反映局部进展情况。在2019年组中，多普勒超声显示患侧睾丸无血流的比例为62%，而2020年为80%。从入院到手术的平均时间几乎相同：2019年为75分钟，2020年为76分钟。两组阴囊探查的平均持续时间相似。只有一个显著差异：扭转程度。2019年的平均值为360°，2020年为540°。在分析的时间段内，睾丸切除术的发生率也没有显著差异，大流行期间为21%，非2019冠状病毒病期间为35%。我们没有观察到2019冠状病毒病大流行期间睾丸扭转病例数量的增加。最重要的是，在2019冠状病毒病疫情期间出现睾丸扭转的患者中，睾丸切除术的发生率没有显著差异。
