Testicular Torsion in Patients With Intellectual and Developmental Disabilities

Patients with intellectual/developmental disabilities are at risk of delayed diagnosis of testicular torsion due to their inability to effectively communicate their symptoms. We identified males ages 1 to 18 years with testicular torsion between January 1, 2015 and December 31, 2020, focusing on pat...

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Autores principales:	Lisa B. E. Shields MD, Michael W. Daniels MS, Dennis S. Peppas MD, Eran Rosenberg MD
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/3b7d6fc84a0146389414924fed90b69f
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spelling	oai:doaj.org-article:3b7d6fc84a0146389414924fed90b69f2021-12-01T02:03:21ZTesticular Torsion in Patients With Intellectual and Developmental Disabilities2333-794X10.1177/2333794X211059119https://doaj.org/article/3b7d6fc84a0146389414924fed90b69f2021-11-01T00:00:00Zhttps://doi.org/10.1177/2333794X211059119https://doaj.org/toc/2333-794XPatients with intellectual/developmental disabilities are at risk of delayed diagnosis of testicular torsion due to their inability to effectively communicate their symptoms. We identified males ages 1 to 18 years with testicular torsion between January 1, 2015 and December 31, 2020, focusing on patients with intellectual and/or developmental disabilities. Of the 140 patients with testicular torsion, 5 (3.6%) patients exhibited intellectual/developmental disabilities with an inability to effectively verbalize testicular/groin/scrotal pain. The patients with intellectual/developmental disabilities underwent more orchiectomies (5/5, 100%, P = .009) and had a longer duration of symptoms (median = 48 hours, P = .047) compared to those without intellectual/developmental disabilities (51/135, 38% and median = 9 hours, respectively) (51/134, 38%) ( P = .038). Parents and other caregivers of males with intellectual/developmental disabilities who are unable to adequately verbalize their testicular/groin/scrotal pain should be cognizant of the signs and symptoms associated with testicular torsion, perform a genitalia examination, and seek an immediate evaluation to diagnose and treat this urgent condition.Lisa B. E. Shields MDMichael W. Daniels MSDennis S. Peppas MDEran Rosenberg MDSAGE PublishingarticlePediatricsRJ1-570ENGlobal Pediatric Health, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pediatrics RJ1-570
spellingShingle	Pediatrics RJ1-570 Lisa B. E. Shields MD Michael W. Daniels MS Dennis S. Peppas MD Eran Rosenberg MD Testicular Torsion in Patients With Intellectual and Developmental Disabilities
description	Patients with intellectual/developmental disabilities are at risk of delayed diagnosis of testicular torsion due to their inability to effectively communicate their symptoms. We identified males ages 1 to 18 years with testicular torsion between January 1, 2015 and December 31, 2020, focusing on patients with intellectual and/or developmental disabilities. Of the 140 patients with testicular torsion, 5 (3.6%) patients exhibited intellectual/developmental disabilities with an inability to effectively verbalize testicular/groin/scrotal pain. The patients with intellectual/developmental disabilities underwent more orchiectomies (5/5, 100%, P = .009) and had a longer duration of symptoms (median = 48 hours, P = .047) compared to those without intellectual/developmental disabilities (51/135, 38% and median = 9 hours, respectively) (51/134, 38%) ( P = .038). Parents and other caregivers of males with intellectual/developmental disabilities who are unable to adequately verbalize their testicular/groin/scrotal pain should be cognizant of the signs and symptoms associated with testicular torsion, perform a genitalia examination, and seek an immediate evaluation to diagnose and treat this urgent condition.
format	article
author	Lisa B. E. Shields MD Michael W. Daniels MS Dennis S. Peppas MD Eran Rosenberg MD
author_facet	Lisa B. E. Shields MD Michael W. Daniels MS Dennis S. Peppas MD Eran Rosenberg MD
author_sort	Lisa B. E. Shields MD
title	Testicular Torsion in Patients With Intellectual and Developmental Disabilities
title_short	Testicular Torsion in Patients With Intellectual and Developmental Disabilities
title_full	Testicular Torsion in Patients With Intellectual and Developmental Disabilities
title_fullStr	Testicular Torsion in Patients With Intellectual and Developmental Disabilities
title_full_unstemmed	Testicular Torsion in Patients With Intellectual and Developmental Disabilities
title_sort	testicular torsion in patients with intellectual and developmental disabilities
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/3b7d6fc84a0146389414924fed90b69f
work_keys_str_mv	AT lisabeshieldsmd testiculartorsioninpatientswithintellectualanddevelopmentaldisabilities AT michaelwdanielsms testiculartorsioninpatientswithintellectualanddevelopmentaldisabilities AT dennisspeppasmd testiculartorsioninpatientswithintellectualanddevelopmentaldisabilities AT eranrosenbergmd testiculartorsioninpatientswithintellectualanddevelopmentaldisabilities
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Testicular Torsion in Patients With Intellectual and Developmental Disabilities

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