Standardized education and parental awareness are lacking for testicular torsion

Friedman, Ariella; Ahmed, Haris; Gitlin, Jordan; Palmer, Lane S.

doi:10.1016/j.jpurol.2016.01.008

Cited by 36 publications

(41 citation statements)

References 27 publications

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“…35.6%). [6] Our study showed similar finding as there was no statistically significant difference in the awareness of TT in children between the urology and the general pediatrics clinic groups (19% vs. 14%). The parents in our study who knew about TT gained their knowledge mostly through their doctor and the media (the Internet or magazines and newspapers).…”

Section: Discussionsupporting

confidence: 82%

Parents' awareness and knowledge of testicular torsion: A cross-sectional study

et al. 2019

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Background:Testicular torsion (TT) is one of the most common emergencies in pediatric urology. Family awareness of this condition could lead to early diagnosis and intervention and salvage of the effected testicle. The purpose of this study is to assess parental awareness about TT and their source of knowledge. We also evaluated the response of the parents to their children's scrotal pain.Methods:A quantitative, observational, cross-sectional study was conducted from March 2017 to September 2017 at our institution. The study target were parents attending the pediatric urology clinic and the comparison group included parents attending the general pediatric clinic in the same period. We distributed a questionnaire and then compared the results in both groups.Results:A total of 200 parents participated in this study (100 parents from each clinic). Nineteen percent of pediatric urology clinic parents were aware and 14% of general pediatric clinic parents were aware about TT with no statistically significant difference observed (P = 0.341). The parents in urology clinic choose doctor as their main source of knowledge (42.1%), while in general pediatric clinic, doctor and through a friend as the main source of knowledge had the same percentage (28.6%). Response of the parents to their children's scrotal pain during working hours in urology and general pediatric clinics was to drive their children to the emergency room immediately with 85% and 82%, respectively. The response of the parents after working hours in both clinics did not show difference, with 83% of parents in pediatric urology clinic and 85% in general pediatric clinic driving their children immediately to the emergency room.Conclusion:TT in boys is a common problem we face as pediatric urologists and it may lead to testicular loss if not diagnosed and treated early. We found that the awareness of TT in children is low in our community and it is our responsibility to raise it to improve our children's well-being.

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Section: Discussionsupporting

confidence: 82%

Parents' awareness and knowledge of testicular torsion: A cross-sectional study

et al. 2019

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“…It seems that one of the reasons is low awareness of the caregivers. Friedman et al showed that only 34% of parents are aware of this condition (26). According to the literature, onethird of cases of scrotal torsion ended with orchidectomy (27,28).…”

Section: Discussionmentioning

confidence: 99%

Is testicular torsion a real problem in pediatric patients with cryptorchidism?

Komarowska

Pawelczyk

Matuszczak

et al. 2020

Preprint

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PurposeTo present management and outcomes of patients with cryptorchidism suffering from testicular torsion.MethodsThis is a retrospective review of pediatric patients with torsion of undescended testes, who were treated between 2009 and 2019. On the medical charts, we recorded: the age, symptoms, duration of torsion, physical examination, surgery findings, and additional treatment.ResultsWe identified 9 boys with torsion of the undescended gonad, which represented 4.7% of all 192 boys with testicular torsion. The mean age of boys with torsion of undescended testis was 8.7 years. The mean duration of symptoms in our study group was long and it was up to 28.5 hours. All patients had inguinal canal exploration. In 8 cases, testicular necrosis and primary orchidectomy was performed.ConclusionAccording to clinical experience and available studies, torsion of male undescended gonads is a comparatively rare condition. Nevertheless, diagnosis is still delayed and connected with inevitable orchidectomy.Plain English summaryAuthors present 9 cases of boys with torsion of undescended testes. They represented 4.7% of all boys with testicular torsion treated during 10 years in Pediatric Surgery Department. The mean age of boys with torsion of undescended testis was 8.7 years. The mean duration of symptoms was long and it was up to 28.5 hours. All patients were operated on, in 8 cases necrotic testicle was removed. Even though torsion of undescended testicle is quite rare, diagnosis is delayed and because of that, boys are subjected to removal of the testicle.

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“…Others have reported adolescent male patients and their parents are universally unaware of testicular pathology unique to their age group, including the need to seek emergent attention for painful and painless testicular swelling. [5][6][7][8] Need for education additionally applies to boys with undescended testes whose presentations of testicular torsion are likely to be atypical. 20 Our results are limited by inherent restrictions of retrospective review, including ability to report association but inability to prove 1 symptom profile or patient characteristic caused a delay in presentation or misdiagnosis.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 To date, research and quality care initiatives have focused on improving the accuracy of diagnosis and accelerating care pathways. 3,4 Although isolated surveys have examined patient and parental awareness of acute scrotal pathology unique to adolescence, [5][6][7][8] to our knowledge other factors associated with delay in presentation after onset of symptoms have not been reported. As the vast majority of delayed presentations of testicular torsion undergo orchiectomy, knowledge of factors affecting acute vs delayed presentation directly impacts testicular salvageability.…”

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confidence: 99%