PDF(Pubmed)
Abstract：
BACKGROUND: Testicular torsion is a time-sensitive surgical emergency. Assessment of the acute scrotum warrants rapid surgical review and low threshold for surgical intervention. Materials and methods: A retrospective cohort study was undertaken for a three-month period during the first wave of the 2020 COVID-19 pandemic and the corresponding period in 2019. Data were collected for all scrotal explorations undertaken at our non-urological centre during this time.
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.
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.
摘要：
背景：睾丸扭转是一种时间敏感的外科急症。急性阴囊的评估需要快速的手术审查和低阈值的手术干预。材料和方法：在2020年COVID-19大流行的第一波和2019年的相应时期进行了为期三个月的回顾性队列研究。在此期间，收集了在我们的非泌尿外科中心进行的所有阴囊探查的数据。
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。
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。
