Testicular Torsion and Climate Changes in Macroregions of São Paulo, Brazil

Overview

Journal Einstein (Sao Paulo)

Specialty General Medicine

Date 2021 Mar 17

PMID 33729284

Citations 1

Authors

Joao Roberto Paladino Jr

Fernando Korkes

Sidney Glina

Affiliations

Soon will be listed here.

Abstract

Objective: To analyze the association between climate changes in the macroregions in the state of São Paulo and testicular torsion treated cases.

Methods: The cases were selected in the Brazilian Public Health Data System Database from January 2008 to November 2016. All surgical procedure records were identified by the Hospital Admission Authorization document. Two codes were selected to process the search: testicular torsion (surgical cure code) and acute scrotum (exploratory scrototomy code). The macroregions were grouped in five areas linked to climate characteristics by International Köppen Climate Classification.

Results: A total of 2,351 cases of testicular torsion were registered in the period. For the areas B, C and E (testicular torsion n=2,130) there were statistical differences found in association of testicular torsion cases and decreased temperature (p=0.019, p=0.001 and p=0.006, respectively), however, in analyses for the areas A and D statistical differences were not observed (p=0.066 and p=0.494).

Conclusion: Decrease in temperature was associated with testicular torsion in three macroregions of São Paulo. The findings support the theory of cold weather like a trigger in occurrence of testicular torsion in a tropical climate region.

Citing Articles

Building sustainable and resilient surgical systems: A narrative review of opportunities to integrate climate change into national surgical planning in the Western Pacific region.

Qin R, Velin L, Yates E, El Omrani O, McLeod E, Tudravu J Lancet Reg Health West Pac. 2022; 22:100407.

PMID: 35243461 PMC: 8881731. DOI: 10.1016/j.lanwpc.2022.100407.

References

Cuckow P, Frank J . Torsion of the testis. BJU Int. 2000; 86(3):349-53. DOI: 10.1046/j.1464-410x.2000.00106.x. View

Korkes F, Cabral P, Alves C, Savioli M, Pompeo A . Testicular torsion and weather conditions: analysis of 21,289 cases in Brazil. Int Braz J Urol. 2012; 38(2):222-8. DOI: 10.1590/s1677-55382012000200010. View

Crawford P, Crop J . Evaluation of scrotal masses. Am Fam Physician. 2014; 89(9):723-7. View

Mabogunje O . Testicular torsion and low relative humidity in a tropical country. Br Med J (Clin Res Ed). 1986; 292(6517):363-4. PMC: 1339345. DOI: 10.1136/bmj.292.6517.363. View

Shukla R, Kelly D, Daly L, Guiney E . Association of cold weather with testicular torsion. Br Med J (Clin Res Ed). 1982; 285(6353):1459-60. PMC: 1500598. DOI: 10.1136/bmj.285.6353.1459. View

Chen J, Lin Y, Yang W . Diurnal temperature change is associated with testicular torsion: a nationwide, population based study in Taiwan. J Urol. 2013; 190(1):228-32. DOI: 10.1016/j.juro.2013.02.013. View

Dajusta D, Granberg C, Villanueva C, Baker L . Contemporary review of testicular torsion: new concepts, emerging technologies and potential therapeutics. J Pediatr Urol. 2012; 9(6 Pt A):723-30. PMC: 3566290. DOI: 10.1016/j.jpurol.2012.08.012. View

Chiu B, Chen C, Keller J, Lin C, Lin H . Seasonality of testicular torsion: a 10-year nationwide population based study. J Urol. 2012; 187(5):1781-5. DOI: 10.1016/j.juro.2011.12.104. View

Caesar R, Kaplan G . Incidence of the bell-clapper deformity in an autopsy series. Urology. 1994; 44(1):114-6. DOI: 10.1016/s0090-4295(94)80020-0. View

10.

Leibovitch I, Mor Y . The vicious cycling: bicycling related urogenital disorders. Eur Urol. 2005; 47(3):277-86. DOI: 10.1016/j.eururo.2004.10.024. View

11.

Srinivasan A, Freyle J, Gitlin J, Palmer L . Climatic conditions and the risk of testicular torsion in adolescent males. J Urol. 2007; 178(6):2585-8. DOI: 10.1016/j.juro.2007.08.049. View

12.

Bingol-Kologlu M, Sara Y, Tanyel F, Onur R, Buyukpamukcu N, Hicsonmez A . Contractility and electrophysiological parameters of cremaster muscles of boys with a hernia or undescended testis. J Pediatr Surg. 1998; 33(10):1490-4. DOI: 10.1016/s0022-3468(98)90482-1. View

13.

Seng Y, Moissinac K . Trauma induced testicular torsion: a reminder for the unwary. J Accid Emerg Med. 2000; 17(5):381-2. PMC: 1725459. DOI: 10.1136/emj.17.5.381. View

14.

Cost N, Bush N, Barber T, Huang R, Baker L . Pediatric testicular torsion: demographics of national orchiopexy versus orchiectomy rates. J Urol. 2011; 185(6 Suppl):2459-63. DOI: 10.1016/j.juro.2011.01.016. View

15.

Gaither T, Copp H . State appellant cases for testicular torsion: Case review from 1985 to 2015. J Pediatr Urol. 2016; 12(5):291.e1-291.e5. PMC: 5073043. DOI: 10.1016/j.jpurol.2016.03.008. View

16.

Gomes D, Vidal R, Foeppel B, Faria D, Saito M . Cold weather is a predisposing factor for testicular torsion in a tropical country. A retrospective study. Sao Paulo Med J. 2014; 133(3):187-90. PMC: 10876364. DOI: 10.1590/1516-3180.2013.7600007. View

17.

Cabral Dias Filho A, de Oliveira P . Immediate and delayed effects of atmospheric temperature in the incidence of testicular torsion. J Pediatr Urol. 2018; 14(2):170.e1-170.e7. DOI: 10.1016/j.jpurol.2017.11.010. View