Is Cold Weather Testicle’s Friend or Foe?

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...

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Main Authors: Erdem Özatman, Rıfat Burak Ergül, Reşat Aydın, Muhammet İrfan Dönmez, Tayfun Oktar, Orhan Ziylan, İsmet Nane
Format: Article
Language:English
Published: Istanbul University Press 2023-09-01
Series:Çocuk Dergisi
Subjects:
Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/D2B8B6C7DEB244F5AD084C861CB68699
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author Erdem Özatman
Rıfat Burak Ergül
Reşat Aydın
Muhammet İrfan Dönmez
Tayfun Oktar
Orhan Ziylan
İsmet Nane
author_facet Erdem Özatman
Rıfat Burak Ergül
Reşat Aydın
Muhammet İrfan Dönmez
Tayfun Oktar
Orhan Ziylan
İsmet Nane
author_sort Erdem Özatman
collection DOAJ
description 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.
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spelling doaj-art-dda59c99031149b1b3f2c21956768f332025-08-20T02:15:34ZengIstanbul University PressÇocuk Dergisi1308-84912023-09-0123325125410.26650/jchild.2023.1115094123456Is Cold Weather Testicle’s Friend or Foe?Erdem Özatman0https://orcid.org/0000-0002-9405-3597Rıfat Burak Ergül1https://orcid.org/0000-0001-6262-9582Reşat Aydın2https://orcid.org/0000-0002-1581-8476Muhammet İrfan Dönmez3https://orcid.org/0000-0002-2828-7942Tayfun Oktar4Orhan Ziylan5İsmet Nane6https://orcid.org/0000-0002-5079-1221İstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeObjective: 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.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/D2B8B6C7DEB244F5AD084C861CB68699temperatureseasonal variationsspermatic cord torsiontestistesticular torsion
spellingShingle Erdem Özatman
Rıfat Burak Ergül
Reşat Aydın
Muhammet İrfan Dönmez
Tayfun Oktar
Orhan Ziylan
İsmet Nane
Is Cold Weather Testicle’s Friend or Foe?
Çocuk Dergisi
temperature
seasonal variations
spermatic cord torsion
testis
testicular torsion
title Is Cold Weather Testicle’s Friend or Foe?
title_full Is Cold Weather Testicle’s Friend or Foe?
title_fullStr Is Cold Weather Testicle’s Friend or Foe?
title_full_unstemmed Is Cold Weather Testicle’s Friend or Foe?
title_short Is Cold Weather Testicle’s Friend or Foe?
title_sort is cold weather testicle s friend or foe
topic temperature
seasonal variations
spermatic cord torsion
testis
testicular torsion
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/D2B8B6C7DEB244F5AD084C861CB68699
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