To study the outcomes of scrotal exploration for acute scrotal pain in relation to monthly and daily temperature variations: A large contemporary series from a Teaching Hospital

Adeel Anwar (Lead / Corresponding author), Ghulam Mustafa Nandwani, Sanjai Kaddla, James A. Forster

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Abstract

BACKGROUND & OBJECTIVE 

Acute testicular pain requires emergency exploration for suspected testicular torsion (TT). It has been suggested that temperature variation is associated with TT. However, it was not possible to conclude whether the higher occurrence of TT was related to TT itself or the effect of the overall higher presentation of acute scrotum. We studied the impact of seasonal and daily temperature variations on acute testicular pain and outcomes. 

METHODOLOGY 

Acute testicular pain requires emergency exploration for suspected testicular torsion (TT). It has been suggested that temperature variation is associated with TT. However, it was not possible to conclude whether the higher occurrence of TT was related to TT itself or the effect of the overall higher presentation of acute scrotum. We studied the impact of seasonal and daily temperature variations on acute testicular pain and outcomes. 

RESULTS

In total, 502 patients required testicular exploration. The median age and duration of symptoms were 16.4 yrs. (1.3 – 77) and 4 hrs. (1 – 336). Respectively, TT was found in 231 (46%), torsion of the testicular appendix (TTA) in 126 (25%), epididymal inflammation (EI) in 46 (9.2%), and no identifiable cause (NIC) was found in 99 (19.7%). Scrotal explorations were more common in groups with mean daily temperature >6.20C, 60.2% Vs 39.8% while there was no difference in TT 46% Vs 46% in these groups. 

CONCLUSION 

There was no seasonal variation for testicular torsion or operative findings. Cold weather and average low daily temperatures were not related to testicular torsion.

Original languageEnglish
Pages (from-to)855-860
Number of pages6
JournalJournal of University Medical and Dental College
Volume15
Issue number3
DOIs
Publication statusPublished - 24 Aug 2024

Keywords

  • Orchiectomy
  • Temperature
  • Torsion of testis

ASJC Scopus subject areas

  • General Health Professions
  • General Medicine
  • General Dentistry

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