Corresponding Author
Caner Ediz, MD
Department of Urology
Sultan Abdulhamid Han Education and Research Hospital, Istanbul, Turkey
Postal Address: Tibbiye Cd, Selimiye Mh., Uskudar/Istanbul
Postal Code: 34668
Phone: +90 533 580 50 80; Fax: +90 216 542 20 20
E-mail:drcanerediz@gmail.com
ABSTRACT
Aims: This study aims to analyze the novel Coronavirus disease
related testicular pain in hospitalized patients due to COVID-19 and to
review as an etiological factor for epididymitis, orchitis or both.
Methods: A total of 91 patients were included in the study. A
questionnaire was formed for the questioning of testicular pain or
epididymo-orchitis in patients with COVID-19. Demophrahics and past
medical history was also recorded. Patients’ neutrophil and lymphocyte
counts, neutrophil-lymphocyte ratios , C-reactive protein levels and
D-dimer values were recorded. Patients with COVID-19 were divided into
two groups according to absence or presence of testicular pain or
epididymo-orchitis as group 1 and group 2. All results were compared for
both groups.
Results: The median age of patients was similar in both groups.
Testicular pain was occured in 10.98% of the patients. Clinical
presentation of epididymo-orchitis was diagnosed in only one patient. No
statistically significant difference was reported in terms of patients’
age, levels of CRP and D-Dimer or NLR and results of questionnaire form
queries between the two groups .
Conclusion: Testicular pain was observed more frequently in
hospitalized COVID-19 cases. While no inflammation marker which is
related to predict of testicular pain or epididymo-orchitis was found in
patients with COVID-19.
Keywords: Coronavirus disease, COVID-19, epididymitis,
epididymo-orchitis, orchitis, testicular pain