Is Cold Weather Testicle’s Friend or Foe?
Authors : Erdem Özatman, Rifat Burak Ergül, Reşat Aydin, Muhammet Irfan Dönmez, Tayfun Oktar, Hasan Orhan Ziylan, Ismet Nane
Pages : 49-52
Doi:10.26650/jchild.2023.1115094
View : 47 | Download : 54
Publication Date : 2023-10-24
Article Type : Research
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 17.02±0.78 years. TT was seen on the right side in 49(67.1%) patients, left side in 23(31.5%) and bilateral in 1(1.4%) 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 50(68.5%) 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.Keywords : sıcaklık, mevsimsel değişimler, spermatik kord torsiyonu, testis, testis torsiyonu