Is Cold Weather Testicle’s Friend or Foe?

Erdem Özatman; Rifat Burak Ergül; Reşat Aydın; Muhammet İrfan Dönmez; Tayfun Oktar; Hasan Orhan Ziylan; İsmet Nane

Article Details

Is Cold Weather Testicle’s Friend or Foe?

Authors:

Erdem Özatman | Rifat Burak Ergül | Reşat Aydın | Muhammet İrfan Dönmez | Tayfun Oktar | Hasan Orhan Ziylan | İsmet Nane

Publisher:

Istanbul University

Main Topics:

Çocuk Sağlığı ve Hastalıkları

Journal:

Çocuk Dergisi Vol.23 Issue 3, pp.251-254

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001303672

pISSN:

1308-8491

Keywords:

Abstract:

 Objective: Low air temperature has been shown to predispose testicular torsion TT. In this study, we aimed to examine the relationship of TT occurrence with monthly average temperature. Materials and Methods: The files of 75 male patients who were admitted with acute scrotum between 2005 and 2021 and underwent intervention with a preliminary diagnosis of TT after examination were retrospectively analyzed. The mean age, date of admission, torsion side and interventions were recorded. All patients underwent scrotal doppler ultrasonography. Further, monthly average temperature values of the given years for the province were obtained from the General Directorate of Meteorology. Months were ranked in descending order in terms of average monthly temperature and divided into two groups as warmer and colder months. Results: The mean age of the patients at the time of intervention was 17.020.78 years. TT was seen on the right side in 4967.1 patients, left side in 2331.5 and bilateral in 11.4 patient. Two 2.6 patients turned out not to have TT and were excluded from the study. The warm months were those from April to September, and the cold months from October to March. It was determined that testicular torsion developed in 41 56.2 patients in the warm months and in 32 43.8 patients in the cold months. Detorsion and fixation were performed in 5068.5 of the patients, orchiectomy in18 24.6 and manual detorsion preceded by fixation in another session in 5 6.9 patients. Conclusion: Our results indicated that TT may be observed more frequently in warm months. Thus, TT might not be related to seasonal temperature changes.

 Objective: Low air temperature has been shown to predispose testicular torsion TT. In this study, we aimed to examine the relationship of TT occurrence with monthly average temperature. Materials and Methods: The files of 75 male patients who were admitted with acute scrotum between 2005 and 2021 and underwent intervention with a preliminary diagnosis of TT after examination were retrospectively analyzed. The mean age, date of admission, torsion side and interventions were recorded. All patients underwent scrotal doppler ultrasonography. Further, monthly average temperature values of the given years for the province were obtained from the General Directorate of Meteorology. Months were ranked in descending order in terms of average monthly temperature and divided into two groups as warmer and colder months. Results: The mean age of the patients at the time of intervention was 17.020.78 years. TT was seen on the right side in 4967.1 patients, left side in 2331.5 and bilateral in 11.4 patient. Two 2.6 patients turned out not to have TT and were excluded from the study. The warm months were those from April to September, and the cold months from October to March. It was determined that testicular torsion developed in 41 56.2 patients in the warm months and in 32 43.8 patients in the cold months. Detorsion and fixation were performed in 5068.5 of the patients, orchiectomy in18 24.6 and manual detorsion preceded by fixation in another session in 5 6.9 patients. Conclusion: Our results indicated that TT may be observed more frequently in warm months. Thus, TT might not be related to seasonal temperature changes.

 Objective: Low air temperature has been shown to predispose testicular torsion TT. In this study, we aimed to examine the relationship of TT occurrence with monthly average temperature. Materials and Methods: The files of 75 male patients who were admitted with acute scrotum between 2005 and 2021 and underwent intervention with a preliminary diagnosis of TT after examination were retrospectively analyzed. The mean age, date of admission, torsion side and interventions were recorded. All patients underwent scrotal doppler ultrasonography. Further, monthly average temperature values of the given years for the province were obtained from the General Directorate of Meteorology. Months were ranked in descending order in terms of average monthly temperature and divided into two groups as warmer and colder months. Results: The mean age of the patients at the time of intervention was 17.020.78 years. TT was seen on the right side in 4967.1 patients, left side in 2331.5 and bilateral in 11.4 patient. Two 2.6 patients turned out not to have TT and were excluded from the study. The warm months were those from April to September, and the cold months from October to March. It was determined that testicular torsion developed in 41 56.2 patients in the warm months and in 32 43.8 patients in the cold months. Detorsion and fixation were performed in 5068.5 of the patients, orchiectomy in18 24.6 and manual detorsion preceded by fixation in another session in 5 6.9 patients. Conclusion: Our results indicated that TT may be observed more frequently in warm months. Thus, TT might not be related to seasonal temperature changes.

 Amaç: Testis torsiyonu TT, testis ve spermatik kordun ekseni etrafında donusu ile karakterize akut skrotal agrıya neden olan acil bir urolojik patolojidir. Dusuk hava sıcaklıgının predispozan etkisini gosteren calısmalar mevcuttur. Bu calısmada TTnin soguk hava ile olan iliskisinin incelenmesi amaclanmıstır. Gerec ve Yontem: 2005-2021 yılları arasında Istanbul Universitesi Istanbul Tıp Fakultesi Uroloji AD Cocuk Urolojisi BDna skrotal agrıyla basvurup, muayene ve skrotal doppler ultrasonografi sonrası TT on tanısıyla cerrahi eksplorasyon yapılan 75 erkek hastanın dosyası geriye donuk incelendi. Hastaların yas ortalaması, basvuru tarihi, torsiyon tarafı ve yapılan girisimler kaydedildi. Meteoroloji Genel Mudurlugunden Istanbul ili icin son 16 yılın aylık ortalama hava sıcaklıgı degerleri alındı. Ortalama hava sıcaklıgının en yuksek oldugu aydan en dusuk oldugu aya dogru sıralama yapıldı. Sıcak ve soguk aylar olarak iki gruba ayrıldı. Bulgular: Hastalar cerrahi eksplorasyon esnasında ortalama 17.02  0.78 yasındaydı. Sag testis torsiyonu 49 67,1, sol testis torsiyonu 23 31,5, bilateral torsiyon ise 1 1,4 hastada goruldu. Eksplore edilen hastaların 2sinde ise 2,6 TT olmadıgı saptandı ve bu hastalar calısma dısı bırakıldı. Tum olgularda intravaginal torsiyon vardı. Hastaların aylara gore dagılımı ve ayların ortalama sıcaklık degerleri Sekil 1de gosterilmistir. Son 16 yılın ortalama hava sıcaklıgı Agustosta 26,0C ile en yuksek, Ocakta 6,9C ile en dusuktu. Nisan - Eylul arası sıcak aylar, Ekim - Mart arası ise soguk aylar olarak adlandırıldı. Sıcak ayların ortalama sıcaklıgı 21,8C iken, soguk aylarınki 10,2C idi. Sıcak aylarda 41 56,2, soguk aylarda 32 43,8 hastada testis torsiyonu gelistigi saptandı. Hastaların 50sine 68,5 detorsiyon ve fiksasyon, 18ine 24,6 orsiektomi, 5ine 6,9 manuel detorsiyon yapıldı. Detorsiyon ve fiksasyon yapılan 6 8,2 hastada kontralateral orsiektomi gecmisi vardı. Sonuc: Calısmamızda literaturdeki dusuk sıcaklıkta TT insidansının arttıgına yonelik bilginin tersi ortaya konmustur. Sıcaklıgın yuksek oldugu 6 ayda TT nedeniyle basvurular daha fazladır. Ayrıca yaz tatilinde cocukların sehir dısına seyahat ettigi varsayılarak, sıcak aylarda hasta sayısının daha fazla olabilecegi ongorulmustur. Farklı bolgelerden cok merkezli calısmalara ihtiyac duyulmaktadır.

Article Details

Is Cold Weather Testicle’s Friend or Foe?

Authors:

Erdem Özatman | Rifat Burak Ergül | Reşat Aydın | Muhammet İrfan Dönmez | Tayfun Oktar | Hasan Orhan Ziylan | İsmet Nane

Publisher:

Istanbul University

Main Topics:

Çocuk Sağlığı ve Hastalıkları

Journal:

Çocuk Dergisi Vol.23 Issue 3, pp.251-254

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001303672

pISSN:

1308-8491

temperature

seasonal variations

spermatic cord torsion

testis

testicular torsionsıcaklık

mevsimsel değişimler

spermatik kord torsiyonu

testis

testis torsiyonu

Issues

Article Details

Authors: Erdem Özatman | Rifat Burak Ergül | Reşat Aydın | Muhammet İrfan Dönmez | Tayfun Oktar | Hasan Orhan Ziylan | İsmet Nane

Publisher: Istanbul University

Main Topics: Çocuk Sağlığı ve Hastalıkları

Journal: Çocuk Dergisi Vol.23 Issue 3, pp.251-254

Document Type: Article

Publication Date: 10/2023

Document Language: English

Document ID (Org No.): 2001303672

pISSN: 1308-8491

Issues

Authors:

Erdem Özatman | Rifat Burak Ergül | Reşat Aydın | Muhammet İrfan Dönmez | Tayfun Oktar | Hasan Orhan Ziylan | İsmet Nane

Publisher:

Istanbul University

Main Topics:

Çocuk Sağlığı ve Hastalıkları

Journal:

Çocuk Dergisi Vol.23 Issue 3, pp.251-254

Document Type:

Article

Publication Date:

10/2023

Document Language:

English

Document ID (Org No.):

2001303672

pISSN:

1308-8491