"IS THE LİKELIHOOD OF TESTICULAR TORSION HIGHER IN COLD WEATHER?"

Öz

Objective: This study aimed to investigate the relationship between testicular torsion and weather conditions and report the results for Türkiye, which is located between the temperate and subtropical climate zones. Methodology: Our study is a retrospective study. A total of 41 male patients who applied to the department of emergency or urology clinic of Süleyman Demirel University Education and Research Hospital with complaints of scrotal pain between 2012-2022 were diagnosed with testicular torsion based on physical examination and scrotal colour Doppler ultrasound findings and underwent scrotal exploration were included. This region's seasonal and temperature averages at the time of application were recorded. Results: The mean age of the patients was 26.39 years. Testicular torsion was on the right side in 17 patients and on the left side in 24 patients. Surgical detorsion was applied to 36 patients, while five patients underwent orchiectomy. The ischemia period was significantly more extended in patients who underwent orchiectomy (p<0.05). Following the primary surgical procedure, bilateral testicular fixation was performed in 34 patients, while unilateral testicular fixation was performed in 5 patients. Testicular fixation was not performed in 2 patients. The mean air temperature at the time of admission was found to be 10.8 ºC. There were 13 cases in winter, 8 in spring, 7 in summer and 13 in autumn. The prevalence of testicular torsion did not differ between seasons (p=0.39). In the analysis of the air temperature at the time of admission, it was seen that 28 patients were below 15ºC and 13 patients were above 15ºC, and there was a significant difference between them (p<0.005). Conclusion: Acute testicular torsion was more common in the cold season with low temperatures. In weather with temperatures lower than 15 degrees, men can use warmer and more protective clothing for their external genital organs as a preventive measure against undesirable conditions such as testicular torsion.

Anahtar Kelimeler

• Acute scrotum
• Temperature
• Testicular torsion

SOĞUK HAVALARDA TESTİS TORSİYONU İHTİMALİ DAHA MI FAZLA?

Öz

Amaç: Bu çalışmada testis torsiyonunun hava koşulları ile ilişkisini araştırmayı, ılıman ve subtropikal iklim kuşakları arasında yer alan Türkiye'ye ait sonuçları bildirmeyi amaçladık. Metodoloji: Retrospektif olarak değerlendirdiğimiz çalışmamıza 2012-2022 yılları arasında Süleyman Demirel Üniversitesi Eğitim ve Araştırma Hastanesi acil servisi veya üroloji polikliniğine skrotal ağrı şikayetiyle başvuran, fizik muayene ve skrotal renkli doppler ultrason bulgularına dayanarak testis torsiyonu tanısı konulan; skrotal eksplorasyon yapılan toplam 41 erkek hasta dahil edildi. Başvuru zamanında bu bölgedeki mevsim ve sıcaklık ortalamaları kaydedildi. Sonuçlar: Hastaların ortalama yaşı 26,39 yıldı. Testis torsiyonu 17 hastada sağ tarafta, 24 hastada ise sol taraftaydı. Hastaların 36’sına cerrahi detorsiyon uygulanırken 5 hastaya orşiektomi uygulandı. Orşiektomi yapılan hastalarda iskemi süresi anlamlı olarak daha uzundu (p<0,05). Primer cerrahi prosedürü takiben 34 hastaya bilateral testis fiksasyonu yapılırken, 5 hastaya unilateral testis fiksasyonu yapıldı. 2 hastaya testis fiksasyonu yapılmadı. Hastaların başvuru anındaki ortalama hava sıcaklığı 10,8 ºC olarak bulundu. Kış aylarında 13, ilkbahar aylarında 8, yaz aylarında 7 ve sonbahar aylarında 13 vaka vardı. Testis torsiyonu prevalansı mevsimler arasında farklı değildi (p=0,39). Hastaların başvuru anındaki hava sıcaklığı analizinde; 28 hastada 15ºC'nin altında, 13 hastada ise 15ºC'nin üstünde olduğu ve aralarında anlamlı fark olduğu görüldü(p<0,005). Sonuç: Akut testis torsiyonu düşük sıcaklıklı soğuk mevsimde daha sık görüldü. Erkeklerin 15 dereceden daha düşük sıcaklık derecesine sahip havalarda, dış genital organları için daha sıcak ve daha koruyucu giysiler kullanılması testis torsiyonu gibi istenmeyen durumlara karşı önleyici bir tedbir olarak kullanılabilir.

Anahtar Kelimeler

• Akut skrotum
• Sıcaklık
• Testis torsiyonu

Kaynakça

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