Parental awareness of testicular torsion amongst Irish parents

Yap, Lee Chien; Keenan, Robert; Khan, Jody; Cozman, Claudiu; Dowling, Catherine; Cullen, Ivor M.; D’Arcy, Frank

doi:10.1007/s00345-018-2269-8

Cited by 16 publications

(20 citation statements)

References 18 publications

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“…British researchers ( 11 ) found that only 30% of their patients sought medical attention within 6 hours of symptoms (46% presented after 12 hours), and 2/3 of those were incognizant that the disease could cause organ loss. Similarly, American investigators ( 12 ) reported that only 1/3 of 479 parents surveyed in a Pediatric Urology clinic had some knowledge about the disease, and an Irish study ( 13 ) uncovered that although 56% of parents knew about the disease, just 1/3 were aware of the time frame available for treatment.…”

Section: Discussionmentioning

confidence: 99%

“…While the time interval between symptoms and first medical assessment, i.e. presentation delay, rests upon the patient’s awareness of the disease and medical care availability ( 11 - 13 ), delays from this first assessment until evaluation at the treating institution have been associated with the first examining physician’s clinical diagnosis and subsequent action, such as imaging studies orders and inter-hospital patient referral and transfer ( 14 - 16 ). This information, however, comes from economically advanced countries, and although one may postulate that similar associations should also be observed in emerging countries, region-specific data is necessary to ascertain not only the existence but also the magnitude of these associations.…”

Section: Introductionmentioning

confidence: 99%

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Presentation delay, misdiagnosis, inter-hospital transfer times and surgical outcomes in testicular torsion: analysis of statewide case series from central Brazil

Filho

Maroccolo²,

Ribeiro³

et al. 2020

Int. braz j urol.

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Purpose: To estimate statewide presentation delay, misdiagnosis rate, inter-hospital transfer times and testicular salvage for testicular torsion patients treated in our state's public health system. Patients and Methods: Case series of consecutive testicular torsion patients treated in our state's public health system between 2012-2018. Predictors included presentation delay (time from symptoms to first medical assessment), facilitie's level-of-care (primary, secondary, tertiary), first diagnosis (torsion, epididymitis, other), Doppler-enhanced ultrasound request (Doppler-US) and inter-hospital transfer times, with surgical organ salvage as the main response. We used Bayesian regression to estimate the effect of first examining facilitie's level-of-care, first diagnosis, and Doppler-US on transfer time. Results: 505 patients were included, most (298, 59%) with presentation delay >6 hours. Misdiagnosis at first examining facility raised transfer time from median 2.8 to 23.4 (epididymitis) and 37.9 hours (other) and lowered testicular salvage rates from 60.3% (torsion) to 10.7% (epididymitis) and 18.3% (other). Doppler-US had negligible effects on transfer time once controlling for misdiagnosis in the regression model. Although organ salvage in patients presenting before 6 hours at the tertiary facility was high (94.6%, and about 20% lower for those presenting at lower levels-of-care), the overall salvage rate was more modest (46%). Conclusion: Our low overall testicular salvage rates originated from a large proportion of late presentations combined with long transfer times caused by frequent misdiagnoses. Our results indicate that efforts to improve salvage rates should aim at enhancing populationwide disease awareness and continuously updating physicians working at primary and secondary levels-of-care about scrotal emergencies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Presentation delay, misdiagnosis, inter-hospital transfer times and surgical outcomes in testicular torsion: analysis of statewide case series from central Brazil

Filho

Maroccolo²,

Ribeiro³

et al. 2020

Int. braz j urol.

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“…Our results are consistent with those obtained in the Alyami et al study; it found that as the number of boys in the family increases, the parents' awareness of TT also increases [8]. Parents with only girls in the family will not directly be impacted, but if they were aware of it, they might share the knowledge with other parents who have boys in their family since several studies have demonstrated that parents who were aware of testicular torsion mostly learned about it via friends, relatives, and the internet, which stands as the most common source of knowledge [8][9][10][11][12][13][14][15][16].…”

Section: Discussionmentioning

confidence: 99%

“…Studies have been published on parents' awareness of testicular torsion in Saudi Arabia and around the world [8][9][10][11][12]. However, no studies have been conducted in the western region of Saudi Arabia to address parental knowledge and awareness of TT.…”

Section: Introductionmentioning

confidence: 99%

“…Orchidectomy significantly affects boys, and this influence cannot be neglected [ 9 ]. Raising public awareness of testicular torsion, particularly among parents, plays a crucial role in preventing delay in presentation and reducing the frequency of orchiectomy [ 10 ]. That is why it is necessary to evaluate what parents believe and how they will respond to it.…”

Section: Introductionmentioning

confidence: 99%

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Parents' Awareness and Knowledge of Testicular Torsion in the Western Region of Saudi Arabia

Alsulaimani¹,

Alsulami²,

Saleh³

et al. 2023

Cureus

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IntroductionTesticular torsion (TT) is the most common urological emergency in children that requires immediate intervention. The prognosis of testicular torsion depends on the patient's time of presentation to the emergency department (ED), as well as on the time at which the diagnosis is established and treatment is initiated. Raising public awareness of testicular torsion, particularly among parents, plays a crucial role in preventing delay in presentation and reducing the frequency of orchiectomy. To this end, the study is designed to assess the level of awareness and knowledge of testicular torsion, as well as the response of parents to the scrotal pain of their children. MethodsA descriptive cross-sectional study was conducted among parents in the western region of Saudi Arabia. Data was collected between the 23rd of November and the 22nd of December 2022. A simple random sampling technique was implemented. The data was collected and analyzed using SPSS software (IBM Corp., Armonk, NY). ResultsA total of 394 parents participated in this study. It showed that 13.5% of parents reported having a child with a previous experience of pain in the scrotum. Of them, only 25.4% previously heard about torsion of the testicles. Only 68.8% and 76.6% correctly reported that if the child complains of pain in the scrotum during working hours or over the weekend, they will drive him to the hospital immediately. Good knowledge about TT was significantly higher among children's fathers compared to mothers (66.7% vs. 33.3%) (p≤0.05). ConclusionTesticular torsion (TT) represents significant morbidity among male patients and early identification is crucial to avoid the need for orchiectomy and all its prominent physical and psychological consequences. To improve children's well-being, we need to raise parents' awareness of TT and the potential future implications of this critical condition as it is not widely known in our community. Further studies evaluating the knowledge regarding testicular torsion among preadolescent and adolescent boys are warranted.

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The impact of health care on outcomes of suspected testicular torsion: results from the GRAND study

Pyrgidis,

Apfelbeck,

Stredele

et al. 2024

World J Urol

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Background Suspicion of testicular torsion represents a urological emergency, necessitating immediate surgery. Comprehensive data on the current trends and perioperative outcomes regarding surgical exploration are sparse. Therefore, we utilized nationwide data on the prevalence and results of this surgery, aiming to provide evidence on this matter. Methods We assessed the GeRmAn Nationwide inpatient Data (GRAND) from 2005 to 2021, provided by the Research Data Center of the Federal Bureau of Statistics. We performed multiple regression analyses to evaluate the perioperative outcomes (length of hospital stay, transfusion, and surgical wound infection) after surgical exploration due to suspected testicular torsion based on both the outcome of surgery (orchiectomy, detorsion with preservation of the testicle, and no testicular torsion) and on the department of operation (urological versus non-urological). Results A total of 81,899 males underwent surgical exploration due to suspected testicular torsion in Germany from 2005 to 2021. Of them, 11,725 (14%) underwent orchiectomy, 30,765 (38%) detorsion with preservation of the testicle and subsequent orchidopexy, and 39,409 (48%) presented no testicular torsion. Orchiectomy was significantly associated with longer length of hospital stay (day difference of 1.4 days, 95%CI: 1.3–1.4, p < 0.001), higher odds of transfusion (1.8, 95% CI: 1.2–2.6, p = 0.002) and surgical wound infections (1.8, 95%CI: 1.4–2.3, p < 0.001) compared to no testicular torsion. The proportion of patients undergoing orchiectomy was significantly lower in urological departments (14%) versus non-urological departments (16%) and the proportion of patients undergoing preservation of testicle after detorsion was significantly higher in urological departments (38%) versus non-urological departments (37%), p < 0.001. Patients undergoing treatment in a urological department were discharged earlier and presented lower odds of transfusion and surgical wound infection (p < 0.001) compared to patients undergoing treatment in a non-urological department. Conclusions Nearly half of patients who underwent surgery for suspected testicular torsion did not have intraoperatively the condition confirmed. Patients treated in urological departments had significantly better perioperative outcomes compared to those treated in non-urological departments. Therefore, we advise to refer patients to urological treatment as early as possible.

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Parental awareness of testicular torsion amongst Irish parents

Cited by 16 publications

References 18 publications

Presentation delay, misdiagnosis, inter-hospital transfer times and surgical outcomes in testicular torsion: analysis of statewide case series from central Brazil

Presentation delay, misdiagnosis, inter-hospital transfer times and surgical outcomes in testicular torsion: analysis of statewide case series from central Brazil

Parents' Awareness and Knowledge of Testicular Torsion in the Western Region of Saudi Arabia

The impact of health care on outcomes of suspected testicular torsion: results from the GRAND study

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