ArticleInvestigative and clinical urology2026
Impact of COVID-19 on testicular torsion: A single-center retrospective study from a children's hospital.
Article in Investigative and clinical urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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6 authors.
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Abstract
purposeTesticular torsion is a urological emergency necessitating immediate surgical intervention. However, the altered medical environment during the coronavirus disease 2019 (COVID-19) pandemic posed several challenges and the current study aimed to analyze its effects on the treatment of pediatric testicular torsion cases. MATERIALS AND
methodsWe retrospectively analyzed 47 pediatric patients diagnosed with testicular torsion at Severance Children's Hospital from 2009 to 2022. Patients were categorized into pre-COVID-19 (n=38) and COVID-19 (n=8) groups. Data were collected for each patient, and the differences between the two groups were statistically analyzed.
resultsThe patients' median age was from 13 years (range, 1-19 years) to 13 years (range, 1-16 years) between the pre-COVID-19 and COVID-19 period (p=0.309). The analysis revealed a significant difference between the pre-COVID-19 and COVID-19 groups in the time from symptom onset to emergency department arrival (6.4 hours [0.7-120.0] vs. 20.0 hours [1.3-288.0], p=0.031) and the time from symptom onset to surgery start (19.5 hours [4.5-124.3] vs. 28.5 hours [6.1-293.4], p=0.047). The median postoperative size of the affected testis was 9.8 mL (range, 2.0-13.9 mL) during the COVID-19 period, compared to 1.6 mL (range, 0.1-7.3 mL) in pre-COVID-19 period (p=0.012). The testicular volume ratio (affected/unaffected) was used to evaluate outcomes across patients with varying ages and testicular sizes.
conclusionsThe current study shows that pandemic-related delays in treatment may worsen ischemic injury in testicular torsion, emphasizing the importance of timely intervention even during global crises.
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