Mp72-13 the Impact of Health Care on Outcomes of Suspected Testicular Torsion: Results From the Grand Study

You have accessJournal of UrologyPediatrics VII (MP72)1 May 2024MP72-13 THE IMPACT OF HEALTH CARE ON OUTCOMES OF SUSPECTED TESTICULAR TORSION: RESULTS FROM THE GRAND STUDY Nikolaos Pyrgidis, Maria Apfelbeck, Regina Stredele, Severin Rodler, Marc Kidess, Yannic Volz, Philipp Weinhold, Christian Stief, Julian Marcon, Gerald Bastian Schulz, and Michael Chaloupka Nikolaos PyrgidisNikolaos Pyrgidis , Maria ApfelbeckMaria Apfelbeck , Regina StredeleRegina Stredele , Severin RodlerSeverin Rodler , Marc KidessMarc Kidess , Yannic VolzYannic Volz , Philipp WeinholdPhilipp Weinhold , Christian StiefChristian Stief , Julian MarconJulian Marcon , Gerald Bastian SchulzGerald Bastian Schulz , and Michael ChaloupkaMichael Chaloupka View All Author Informationhttps://doi.org/10.1097/01.JU.0001009572.60675.69.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Suspicion of testicular torsion represents a urological emergency, necessitating immediate surgery. Comprehensive data on the current trends and perioperative outcomes regarding surgical exploration are sparse. Therefore, we utilized nationwide data on the prevalence and results of this surgery, aiming to provide evidence on this matter. METHODS: We assessed the GeRmAn Nationwide inpatient Data (GRAND) from 2005 to 2021, provided by the Research Data Center of the Federal Bureau of Statistics. We performed multiple regression analyses to evaluate the perioperative outcomes (length of hospital stay, transfusion, and surgical wound infection) after surgical exploration due to suspected testicular torsion based on both the outcome of surgery (orchiectomy, detorsion with preservation of the testicle, and no testicular torsion) and on the department of operation (urological versus non-urological). RESULTS: A total of 81,899 males underwent surgical exploration due to suspected testicular torsion in Germany from 2005 to 2021. Of them, 11,725 (14%) underwent orchiectomy, 30,765 (38%) detorsion with preservation of the testicle and subsequent orchidopexy, and 39,409 (48%) presented no testicular torsion. Orchiectomy was significantly associated with longer length of hospital stay (day difference of 1.4 days, 95%CI: 1.3-1.4, p<0.001), higher odds of transfusion (1.8, 95% CI: 1.2-2.6, p=0.002) and surgical wound infections (1.8, 95%CI: 1.4-2.3, p<0.001) compared to no testicular torsion. The proportion of patients undergoing orchiectomy was significantly lower in urological departments (14%) versus non-urological departments (16%) and the proportion of patients undergoing preservation of testicle after detorsion was significantly higher in urological departments (38%) versus non-urological departments (37%), p<0.001. Patients undergoing treatment in a urological department were discharged earlier and presented lower odds of transfusion and surgical wound infection (p<0.001) compared to patients undergoing treatment in a non-urological department. CONCLUSIONS: Nearly half of patients who underwent surgery for suspected testicular torsion did not have intraoperatively the condition confirmed. Patients treated in urological departments had significantly better perioperative outcomes compared to those treated in non-urological departments. Therefore, we advise to refer patients to urological treatment as early as possible. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1177 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Nikolaos Pyrgidis More articles by this author Maria Apfelbeck More articles by this author Regina Stredele More articles by this author Severin Rodler More articles by this author Marc Kidess More articles by this author Yannic Volz More articles by this author Philipp Weinhold More articles by this author Christian Stief More articles by this author Julian Marcon More articles by this author Gerald Bastian Schulz More articles by this author Michael Chaloupka More articles by this author Expand All Advertisement PDF downloadLoading ...