RESULTS: Sixteen scrotal explorations were performed from April to June 2019, one had testicular torsion (6.25%). Forty-one explorations were performed from April to June 2020, nine had testicular torsion (21.95%). The most common diagnosis was epididymitis or epididymo-orchitis in 2019 and 2020 (27% and 37.5%, respectively). Sixty-two percent of patients presented within 12 hours in 2019 compared to only 37% during the first wave of the coronavirus disease 2019 (COVID-19) pandemic.
CONCLUSIONS: This study found an increase in the number of patients presenting with acute scrotal pain triggering surgical intervention and the number of patients with testicular torsion. This is likely to reflect a decrease in patients able to access primary care assessment but may also be related to COVID-19. There was a marked delay in the presentation which has significant implications for testicular viability.
结果:2019年4月至6月进行了16例阴囊探查,其中1例睾丸扭转(6.25%)。2020年4月至6月进行了41次探查,9次睾丸扭转(21.95%)。最常见的诊断是2019年和2020年的附睾炎或附睾睾丸炎(27%和37.5%,分别)。2019年,62%的患者在12小时内出现,相比之下,2019年第一波冠状病毒疾病(COVID-19)大流行期间只有37%。
结论:本研究发现出现急性阴囊疼痛触发手术干预的患者数量和睾丸扭转的患者数量增加。这可能反映出能够获得初级保健评估的患者减少,但也可能与COVID-19有关。出现明显延迟,对睾丸活力具有重要意义。