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 ...

Testicular pain

Orchiectomy

10.1097/ju.0000000000002533.17

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Citations (3)

Editorial

The Journal of Urology (2024)

Benjamin Abelson Victoria Maxon Kathleen Kieran

10.1097/ju.0000000000004178

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Presentation, hospital course and outcomes of children with high grade renal trauma- results from the Traumatic Renal Injury Collaborative in Kids (TRICK) multi-center collaborative

Urology (2025)

Albert S. Lee Nora H Broadwell Ching Man Carmen Tong Jacob Lucas Vinaya Bhatia

Presentation (obstetrics)

Renal Injury

Trauma Center

Center (category theory)

Course (navigation)

10.1016/j.urology.2025.01.072

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MP17-14 IS EXCRETORY PHASE COMPUTERIZED TOMOGRAPHY IMPORTANT FOR EVALUATION OF HIGH GRADE RENAL TRAUMA?: RESULTS FROM THE TRAUMATIC RENAL INJURY COLLABORATION FOR KIDS (TRICK)

The Journal of Urology (2022)

Ching Man Carmen Tong Jacob Lucas Albert Lee Vinaya Bhatia Benjamin Abelson

You have accessJournal of UrologyCME1 May 2022MP17-14 IS EXCRETORY PHASE COMPUTERIZED TOMOGRAPHY IMPORTANT FOR EVALUATION OF HIGH GRADE RENAL TRAUMA?: RESULTS FROM THE TRAUMATIC RENAL INJURY COLLABORATION FOR KIDS (TRICK) Ching Man Carmen Tong, Jacob Lucas, Albert Lee, Vinaya Bhatia, Benjamin Abelson, Christopher Long, Dana Weiss, Christina Ho, Jeffrey Ellis, Harold Lovvorn, Teressa Duong, Jonathan Gerber, Gabriella Crane, Xiaoyi Zhuo, Robert Russell, Soo Kim, Ming-Hsien Wang, Douglass Clayton, and David Kitchens Ching Man Carmen TongChing Man Carmen Tong More articles by this author , Jacob LucasJacob Lucas More articles by this author , Albert LeeAlbert Lee More articles by this author , Vinaya BhatiaVinaya Bhatia More articles by this author , Benjamin AbelsonBenjamin Abelson More articles by this author , Christopher LongChristopher Long More articles by this author , Dana WeissDana Weiss More articles by this author , Christina HoChristina Ho More articles by this author , Jeffrey EllisJeffrey Ellis More articles by this author , Harold LovvornHarold Lovvorn More articles by this author , Teressa DuongTeressa Duong More articles by this author , Jonathan GerberJonathan Gerber More articles by this author , Gabriella CraneGabriella Crane More articles by this author , Xiaoyi ZhuoXiaoyi Zhuo More articles by this author , Robert RussellRobert Russell More articles by this author , Soo KimSoo Kim More articles by this author , Ming-Hsien WangMing-Hsien Wang More articles by this author , Douglass ClaytonDouglass Clayton More articles by this author , and David KitchensDavid Kitchens More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002550.14AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Currently no standardized imaging guidelines exist for pediatric kidney trauma. While excretory phase computerized tomography (EPCT) scans are recommended in adults, the necessity of EPCT remains undefined in children. TRICK is a multi-institutional consortium to investigate pediatric renal trauma in the U.S. In this report, we hypothesized that outcomes and recovery of traumatic renal injury at TRICK centers are independent of EPCT use. METHODS: We reviewed retrospective data from 5 pediatric trauma centers from 2007-2020. Patients <18 years old with high grade renal trauma, defined as American Association for the Surgery of Trauma (AAST) grade III or higher, were included. We collected data on imaging modalities and clinical course. Primary outcome of the study was rate of delayed surgical (endoscopic stent placement or nephrectomy) or radiologic intervention such as percutaneous drains or angiographic embolization. RESULTS: 343 children sustained high-grade renal trauma. Comparison between children with EPCT during initial evaluation (n=116, 34%) and those who received a contrasted CT without excretory phase (n=227, 66%) showed no difference in patient demographics, mechanism or grades of injury. Children in the non-EPCT had higher median injury severity score (p<0.001) and splenic injuries (p=0.004). After initial evaluation with EPCT, more children underwent endoscopic ureteral stent placement (7%) compared to those with non-EPCT (1%, p=0.009). Length of hospital and discharge status were not statistically different although more children with non-EPCT imaging received transfusions (p=0.02). Finally, compared to those with initial EPCT, patients with initial non-EPCT did not undergo more delayed imaging or experience higher rates of delayed surgical or radiologic intervention. Complications or readmission rates within 90 days were not statistically different. CONCLUSIONS: TRICK demonstrates that high grade renal trauma can be initially evaluated with non-EPCT with no difference in surgical outcomes or readmission rates. This study will help drive future prospective protocols to select patients who may benefit from multi-phase CT while minimizing radiation risk to those with self-resolving injuries. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e291 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Ching Man Carmen Tong More articles by this author Jacob Lucas More articles by this author Albert Lee More articles by this author Vinaya Bhatia More articles by this author Benjamin Abelson More articles by this author Christopher Long More articles by this author Dana Weiss More articles by this author Christina Ho More articles by this author Jeffrey Ellis More articles by this author Harold Lovvorn More articles by this author Teressa Duong More articles by this author Jonathan Gerber More articles by this author Gabriella Crane More articles by this author Xiaoyi Zhuo More articles by this author Robert Russell More articles by this author Soo Kim More articles by this author Ming-Hsien Wang More articles by this author Douglass Clayton More articles by this author David Kitchens More articles by this author Expand All Advertisement PDF DownloadLoading ...

10.1097/ju.0000000000002550.14

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MP30-18 RACIAL DISPARITIES IN RENAL TRANSPLANTATION

The Journal of Urology (2017)

Benjamin Abelson Colette Harris Jamie Mitchell Songhua Lin Charles S. Modlin

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation & Vascular Surgery II1 Apr 2017MP30-18 RACIAL DISPARITIES IN RENAL TRANSPLANTATION Benjamin Abelson, Colette Harris, Jamie Mitchell, Songhua Lin, and Charles Modlin Benjamin AbelsonBenjamin Abelson More articles by this author , Colette HarrisColette Harris More articles by this author , Jamie MitchellJamie Mitchell More articles by this author , Songhua LinSonghua Lin More articles by this author , and Charles ModlinCharles Modlin More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.951AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES African American (AA) patients have increased rates of end-stage renal disease compared to Caucasian American (CA) patients, and despite making up 13% of the American population, AAs comprise over 30% of the kidney transplantation list. This study seeks to better define our institutional experience in renal transplantation for AA patients in order to identify methods to reduce previously published racial disparities in access to and outcomes after renal transplantation. METHODS We retrospectively reviewed the most recent fifteen years of kidney transplants at our institution. Clinical and demographic characteristics were collected from the electronic medical record. Kaplan Meier curves were generated for patient and graft survival, stratified by race and by living versus deceased donor transplantation. RESULTS A total of 1840 kidney transplants were performed at our institution from 2000-2016, including 1393 CA patients and 447 AA patients. 944 of the transplants were from living donors (LD) and 846 were from deceased donors (DD). Among the 1393 transplants for CAs, 818 (59%) were from LDs, whereas among the 447 AA transplants, only 126 were LD transplants (28%, p<0.001). There was no difference in patient survival between AA and CA recipients of deceased donor recipients or living donor recipients. Graft survival was longer in CA recipients of DD transplants (mean number, p<0.0001) but there was no significance in the graft survival difference between AA and CA recipients of LD transplants (Figure 1). CONCLUSIONS Living donation confers a graft and overall survival advantage compared to DD, and this is true among both AA and CA patients. At our institution there is no significant difference in graft or patient survival between AA and CA patients after living donation, though after deceased donation CAs have improved graft and patient survival. Furthermore, there is a striking difference in utilization of LD transplant between AA and CA patients. This demonstrates the need for further study of why AA patients are severely underrepresented in LD transplants, and improved education and communication regarding living donation among the AA community. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e396-e397 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Benjamin Abelson More articles by this author Colette Harris More articles by this author Jamie Mitchell More articles by this author Songhua Lin More articles by this author Charles Modlin More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...

10.1016/j.juro.2017.02.951

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