Has the Number of Pediatric Testicular Torsion Cases Abated After the Height of the COVID-19 Pandemic?

A total of 286 pediatric patients underwent surgery for TT: 101 (35%) before the start of COVID-19, 129 (45%) during COVID-19, and 56 (20%) after the peak of the COVID-19 pandemic. The mean monthly case volume significantly increased from the pre-COVID-19 period (2.06) to during-COVID-19 (3.69) and post-COVID-19 (2.95) periods (p<0.0001). The median door-to-detorsion time (DTD) was significantly different across these periods, with the shortest DTD occurring during the COVID-19 period (p=0.011). The type of surgery (orchiectomy vs. orchiopexy) and symptom duration were not statistically different between the three time periods. Conclusions: The number of patients with TT significantly increased during the height of the COVID-19 pandemic, with a subsequent reduction. Our study indicates that pediatric patients and their families realized the importance of seeking prompt medical attention for TT despite the ongoing havoc incurred by the COVID-19 pandemic.