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Where are the paediatric patients with testicular torsion during the COVID-19 pandemic?

INTRODUCTION: The Irish people were put on lockdown in mid-March 2020 due to concern of the spread of coronavirus. With these societal changes came a notable reduction in emergency department attendance. Our aim was to analyse emergency urological procedures performed during the COVID-19 era versus...

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Autores principales: Norton, Sarah Marie, Considine, Shane, Dowling, Catherine, D’Arcy, Frank
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8523118/
https://www.ncbi.nlm.nih.gov/pubmed/34664222
http://dx.doi.org/10.1007/s11845-021-02803-z
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author Norton, Sarah Marie
Considine, Shane
Dowling, Catherine
D’Arcy, Frank
author_facet Norton, Sarah Marie
Considine, Shane
Dowling, Catherine
D’Arcy, Frank
author_sort Norton, Sarah Marie
collection PubMed
description INTRODUCTION: The Irish people were put on lockdown in mid-March 2020 due to concern of the spread of coronavirus. With these societal changes came a notable reduction in emergency department attendance. Our aim was to analyse emergency urological procedures performed during the COVID-19 era versus the previous year. METHODS: A retrospective review of theatre logbooks was undertaken comparing numbers of emergency urological procedures performed between 1 March 2020 and 31 May 2020 (i.e. the COVID-19 era) with the corresponding 3-month period in 2019. RESULTS: A total of 173 cases were analysed between the two time periods. Similar overall numbers of cases were performed in 2019 (n = 90) and 2020 (n = 83). In particular, similar patient case numbers are also noted in both scrotal explorations (13 vs 9) and ureteric stone surgeries (69 vs 70). However, orchidectomies for testicular cancers were reduced by 63% (3/8). On further analysis of the scrotal exploration group, only 3 were performed in the period after lockdown regulations were instated. CONCLUSION: Whilst patients with ureteric colic continue to present, those with acute testis pain requiring exploration attended less frequently, raising the possibility of undiagnosed testicular torsion in the community.
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spelling pubmed-85231182021-10-20 Where are the paediatric patients with testicular torsion during the COVID-19 pandemic? Norton, Sarah Marie Considine, Shane Dowling, Catherine D’Arcy, Frank Ir J Med Sci Original Article INTRODUCTION: The Irish people were put on lockdown in mid-March 2020 due to concern of the spread of coronavirus. With these societal changes came a notable reduction in emergency department attendance. Our aim was to analyse emergency urological procedures performed during the COVID-19 era versus the previous year. METHODS: A retrospective review of theatre logbooks was undertaken comparing numbers of emergency urological procedures performed between 1 March 2020 and 31 May 2020 (i.e. the COVID-19 era) with the corresponding 3-month period in 2019. RESULTS: A total of 173 cases were analysed between the two time periods. Similar overall numbers of cases were performed in 2019 (n = 90) and 2020 (n = 83). In particular, similar patient case numbers are also noted in both scrotal explorations (13 vs 9) and ureteric stone surgeries (69 vs 70). However, orchidectomies for testicular cancers were reduced by 63% (3/8). On further analysis of the scrotal exploration group, only 3 were performed in the period after lockdown regulations were instated. CONCLUSION: Whilst patients with ureteric colic continue to present, those with acute testis pain requiring exploration attended less frequently, raising the possibility of undiagnosed testicular torsion in the community. Springer International Publishing 2021-10-18 2022 /pmc/articles/PMC8523118/ /pubmed/34664222 http://dx.doi.org/10.1007/s11845-021-02803-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Original Article
Norton, Sarah Marie
Considine, Shane
Dowling, Catherine
D’Arcy, Frank
Where are the paediatric patients with testicular torsion during the COVID-19 pandemic?
title Where are the paediatric patients with testicular torsion during the COVID-19 pandemic?
title_full Where are the paediatric patients with testicular torsion during the COVID-19 pandemic?
title_fullStr Where are the paediatric patients with testicular torsion during the COVID-19 pandemic?
title_full_unstemmed Where are the paediatric patients with testicular torsion during the COVID-19 pandemic?
title_short Where are the paediatric patients with testicular torsion during the COVID-19 pandemic?
title_sort where are the paediatric patients with testicular torsion during the covid-19 pandemic?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8523118/
https://www.ncbi.nlm.nih.gov/pubmed/34664222
http://dx.doi.org/10.1007/s11845-021-02803-z
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