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Seasonal Variations in Testicular Torsion: A Retrospective Study
Liqaa Raffee1, Ma'moun Bani Ali2, Khaled Alawneh3
1Department of Accident and Emergency Medicine, Jordan University of Science and Technology, Irbid, JOR.
Cureus
|January 29, 2025
Summary
Testicular torsion (TT) is a urological emergency. Prompt intervention is key, as salvage rates decrease significantly after 24 hours, though some success is possible even after 72 hours.
Area of Science:
- Urology
- Pediatric Surgery
- Emergency Medicine
Background:
- Testicular torsion (TT) is a critical urological emergency.
- Timely intervention is essential to prevent irreversible testicular damage.
Purpose of the Study:
- To analyze trends in male TT referrals.
- Evaluate diagnostic methods like Doppler sonography (DS).
- Assess symptom duration, orchidectomy rates, laterality, and seasonal influences.
Main Methods:
- Observational retrospective cohort study (2009-2021).
- Included 308 patients treated for TT.
- Data collected: demographics, symptom duration, laterality, surgical outcomes (DS, scrotal exploration, orchidopexy, orchidectomy).
Main Results:
- 308 TT patients (ages 10-33) studied.
- 63% (194) underwent orchidectomy after an average of 47 hours.
- Right-sided TT increased by 6% annually with age; winter showed highest incidence.
Conclusions:
- Testicular salvage is possible even after 72 hours, but success rates drop significantly.
- Longer symptom duration correlates with less recoverable testicular tissue.
- Older individuals are more prone to right-sided TT; winter incidence peaks suggest environmental triggers.
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