Indicators and outcomes of transfer to tertiary pediatric hospitals for patients with testicular torsion

Journal of Pediatric Urology
Janae PreeceDaniel DaJusta

Abstract

Testicular torsion threatens testicular viability with increased risk of loss with delayed management. Still, healthy adolescents continue to be transferred from community hospitals to tertiary hospitals for surgical management for torsion even though adult urologists may be available. We sought to determine reasons behind patient transfer and to evaluate whether transfer to tertiary centers for testicular torsion leads to increased rates of testicular loss. A retrospective chart review was performed for patients presenting to our free-standing pediatric tertiary care facility with surgically confirmed testicular torsion during the 5-year period between January 2011 and January 2016. Data was collected regarding transfer status, patient demographics, time of presentation to our facility, duration of symptoms, patient workup, and surgical outcomes. Patients with perinatal or intermittent torsion were excluded. One-hundred and twenty-five patients met the inclusion criteria. Thirty-six of those were transferred from outside facilities while 89 presented directly to our hospital. A greater proportion of the transferred patients presented during nights or weekends than those presenting directly to our facility (77.8% versus 51.7%, ...Continue Reading

Citations

Mar 10, 2020·Clinical Nuclear Medicine·Isa Burak GuneyMurat Alkan
Jun 4, 2019·Annals of the Royal College of Surgeons of England·R PeeraullyN Fraser
Aug 8, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Aderivaldo Cabral DiasCassio Luis Zanettini Riccetto
Jan 23, 2021·Basic and Clinical Andrology·Fasnéwindé Aristide KaboreBarnabé Zango
Feb 5, 2021·BMC Urology·Guangjie ChenDaxing Tang
Feb 22, 2021·Journal of Pediatric Urology·Elizabeth P KwendaChristopher E Bayne
Apr 10, 2021·Journal of Pediatric Urology·Sarah A HolzmanUNKNOWN Western Pediatric Urology Consortium (WPUC)

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