MP11-17 IMPROVING AWARENESS OF TESTICULAR TORSION AMONG BOYS, THEIR PARENTS AND SCHOOL NURSES TO DECREASE DELAYS IN CARE FOR ACUTE TESTICULAR PAIN

Abstract

You have accessJournal of UrologyCME1 May 2022MP11-17 IMPROVING AWARENESS OF TESTICULAR TORSION AMONG BOYS, THEIR PARENTS AND SCHOOL NURSES TO DECREASE DELAYS IN CARE FOR ACUTE TESTICULAR PAIN Benjamin Abelson, Kyle Mason, Cyrus Adams, Mark Adams, John Brock, John C. Pope, Stacy Tanaka, John Thomas, Douglass B. Clayton, Viktor Flores, and Abby S. Taylor Benjamin AbelsonBenjamin Abelson More articles by this author , Kyle MasonKyle Mason More articles by this author , Cyrus AdamsCyrus Adams More articles by this author , Mark AdamsMark Adams More articles by this author , John BrockJohn Brock More articles by this author , John C. PopeJohn C. Pope More articles by this author , Stacy TanakaStacy Tanaka More articles by this author , John ThomasJohn Thomas More articles by this author , Douglass B. ClaytonDouglass B. Clayton More articles by this author , Viktor FloresViktor Flores More articles by this author , and Abby S. TaylorAbby S. Taylor More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002533.17AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Testicular torsion is a surgical emergency that is managed either with detorsion and orchidopexy if the testicle is salvageable, or orchiectomy if the testicle is unsalvageable. Significant efforts have been made to decrease the time from arrival at the hospital to diagnosis and definitive operative management. However, the most significant time delay occurs prior to arrival at the hospital. METHODS: We developed a survey intended to gauge awareness of testicular torsion among boys, parents and school nurses, and to understand how each group would manage scrotal pain. The survey was distributed to parents via ResearchMatch, and to school nurses through a statewide department of education. After completing the survey, participants viewed a 5-minute animated video that we developed about testicular torsion and answered several follow-up questions. RESULTS: 643 parents of boys completed the survey. Most parents (58.5%) report they would call their pediatrician if their son complained of acute scrotal pain, though only 21.8% report they would go straight to the emergency room. 126 (19.7%) of respondents report they would wait to see if the pain would go away, and of these parents, 40% report they would wait longer than 3 hours. Only 55.7% of parents have heard of testicular torsion. After viewing the video, only 15/624 participants (2.4%) report that they would wait to see if acute onset scrotal pain resolved. 376 school nurses completed the survey. 102/376 (27%) have seen a patient with acute scrotal pain in the school environment. Prior to viewing the educational video, only 43% of nurses said they would recommend a caregiver take the child directly to the emergency room, while this increased to 85% after watching the video. Twenty boys ages 10-18 participated in the survey, and 80% of them reported that if they suddenly developed testicular pain at school they would not tell a teacher or nurse. 75% of boys reported they would wait at least 4 hours before telling an adult about their pain regardless of whether they were at home or at school. CONCLUSIONS: Half of parents have never heard of testicular torsion, and many parents report that if their child developed acute scrotal pain, they would wait for it to go away before considering calling a physician or going to the emergency room. Without education about testicular torsion, boys are unlikely to immediately tell an adult about acute testicular pain, at school or at home. Viewing a short, animated, educational video was found to be beneficial to parents, boys and school nurses. We hypothesize that further education of parents, nurses and boys themselves will lead to more immediate interaction with the healthcare system when boys develop testicular pain. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e163 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benjamin Abelson More articles by this author Kyle Mason More articles by this author Cyrus Adams More articles by this author Mark Adams More articles by this author John Brock More articles by this author John C. Pope More articles by this author Stacy Tanaka More articles by this author John Thomas More articles by this author Douglass B. Clayton More articles by this author Viktor Flores More articles by this author Abby S. Taylor More articles by this author Expand All Advertisement PDF DownloadLoading ...