Researchers wanted to see a link between regional, clinical, and socioeconomic characteristics and the delayed treatment of juvenile testicular torsion (TT). From November 2004 to December 2020, researchers from a Children’s Hospital conducted a retrospective study on TT. Researchers used univariate and logistic regression analyses to see the link between these characteristics and TT treatment delays. This research included a total of 301 cases. The rates of TT misdiagnosis in primary, secondary, and tertiary hospitals were 93.8, 71.1, and 8.9%, respectively. Approximately 26.9% of TT boys received prompt surgical treatment (within 12 hours of the onset of symptoms to operation). According to logistic regression analysis, the following factors were linked to TT repair delays:
Age less than 6 years (P=0.001), with a history of symptoms progression (P=0.001) or previous treatment (P<0.001), no other diagnoses (P=0.011), and boys residing outside of the main city zones (P<0.001). Delayed surgical treatment for TT was more likely among boys under the age of six, in the absence of other diagnoses, in the presence of a history of previous treatment or symptoms progression, and in those who lived outside of the main metropolitan zone. It is critical to raise public knowledge of the disease and continually re-educate and update physicians working in primary and secondary care settings to increase the likelihood of timely surgical treatment for TT.
Reference:bmcpediatr.biomedcentral.com/articles/10.1186/s12887-021-03001-7
