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Alzahrani MA, Alasmari MM, Altokhais MI, Alkeraithe FW, Alghamdi TA, Aldaham AS, Hakami AH, Alomair S, Hakami BO. Is There a Relationship Between Waking Up from Sleep and the Onset of Testicular Torsion? Res Rep Urol 2023; 15:91-98. [PMID: 36855423 PMCID: PMC9968432 DOI: 10.2147/rru.s404073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2023] [Accepted: 02/17/2023] [Indexed: 02/24/2023] Open
Abstract
Testicular torsion is a serious urologic emergency that can present with unusual or atypical history and examination. Classical pain from testicular torsion is of sudden onset, significantly severe, and is accompanied by nausea and vomiting. However, in some patients, the initial scrotal pain appears to considerably subside within the next few hours. In others, testicular torsion tends to occur while sleeping, and many patients recount a history of being woken up from sleep by intense pain. Furthermore, some patients in this subset can resume normal activities and even sleep through the night with little or no discomfort, without a perceived need for pain medications. Other patients initially experience mild pain, which worsens over time. Consequently, these patients are less likely to be evaluated immediately. In view of these atypical cases, the question remains unanswered regarding sleep as a predisposing factor for testicular torsion. This narrative review focuses on exploring the association between sleep and testicular torsion.
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Affiliation(s)
- Meshari A Alzahrani
- Department of Urology, College of Medicine, Majmaah University, Al-Majmaah, Saudi Arabia,Correspondence: Meshari A Alzahrani, Department of Urology, College of Medicine, Majmaah University, Al-Majmaah, 11952, Saudi Arabia, Tel +966569990693, Fax +966164042500, Email
| | | | - Moataz I Altokhais
- Department of Urology, King Khalid University Hospital, Riyadh, Saudi Arabia
| | | | - Talal A Alghamdi
- Department of Urology, King Fahad Medical City, Riyadh, Saudi Arabia
| | | | - Alwaleed H Hakami
- College of Medicine and Surgery, Jazan University, Jazan, Saudi Arabia
| | - Saud Alomair
- College of Medicine, Majmaah University, Al-Majmaah, Saudi Arabia
| | - Basel O Hakami
- Department of Urology, King Faisal Medical City for Southern Region (KFMC), Abha, Saudi Arabia
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Al-Shammari SA, Alotaibi HM, Assiri MA, Altokhais MI, Alotaibi MS, Alkhowailed MS. Quality of life in vitiligo patients in central Saudi Arabia. Saudi Med J 2021; 42:682-687. [PMID: 34078732 PMCID: PMC9149719 DOI: 10.15537/smj.2021.42.6.20200833] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 04/07/2021] [Indexed: 11/16/2022] Open
Abstract
OBJECTIVES To assess the quality of life (QoL) in patients with vitiligo in central Saudi Arabia using the dermatology life quality index (DLQI). METHODS A cross-sectional study spanning over 6 months was conducted on 253 adult patients with vitiligo at the outpatient dermatology clinics of the National Center of Vitiligo (Light Clinics) and King Khalid University Hospital, Riyadh, Saudi Arabia. The patients were asked to complete a self-administered questionnaire using an Arabic version of the DLQI to measure the impact of vitiligo on their QoL. The association between the demographic and diseases characteristic to the median DLQI scores was investigated using binary logistic regression. RESULTS The median DLQI score was 4, the range 25, min 0 - max 25 and percentiles 2-8. The unadjusted odds ratio (95%CI) showed the median DLQI score was significantly higher in married subjects 2.29 (1.33-3.94) (p<0.01), non-segmental vitiligo 2.10 (1.16-3.79) (p<0.01), and the progressive vitiligo 1.87 (1.09-3.18) (p<0.02) than their counterparts. However, after adjustment only married status predicted the high DLQI score 2.08 (1.11-3.61) (p<0.01). CONCLUSION The QoL in vitiligo patients in Saudi Arabia is adverse than those with lighter skin, in other countries. Therefore, in Saudi Arabia, better management modalities to improve patients' QoL and prevent subsequent mental distress are needed.
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Affiliation(s)
- Sulaiman A. Al-Shammari
- From the Department of Family and Community Medicine (Al-Shammari), College of Medicine; from the College of Medicine (Alotaibi, Assiri, Altokhais, Alotaibi), King Saud University, Riyadh; and from the Department of Dermatology (Alkhowailed), College of Medicine, Qassim University, Buraidah, Qassim, Kingdom of Saudi Arabia.
- Address correspondence and reprint request to: Dr. Sulaiman A. Al Shammari, Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail: ORCID ID: https://orcid.org/0000-0001-9596-5590
| | - Hatim M. Alotaibi
- From the Department of Family and Community Medicine (Al-Shammari), College of Medicine; from the College of Medicine (Alotaibi, Assiri, Altokhais, Alotaibi), King Saud University, Riyadh; and from the Department of Dermatology (Alkhowailed), College of Medicine, Qassim University, Buraidah, Qassim, Kingdom of Saudi Arabia.
| | - Mohammed A. Assiri
- From the Department of Family and Community Medicine (Al-Shammari), College of Medicine; from the College of Medicine (Alotaibi, Assiri, Altokhais, Alotaibi), King Saud University, Riyadh; and from the Department of Dermatology (Alkhowailed), College of Medicine, Qassim University, Buraidah, Qassim, Kingdom of Saudi Arabia.
| | - Moataz I. Altokhais
- From the Department of Family and Community Medicine (Al-Shammari), College of Medicine; from the College of Medicine (Alotaibi, Assiri, Altokhais, Alotaibi), King Saud University, Riyadh; and from the Department of Dermatology (Alkhowailed), College of Medicine, Qassim University, Buraidah, Qassim, Kingdom of Saudi Arabia.
| | - Mazyad S. Alotaibi
- From the Department of Family and Community Medicine (Al-Shammari), College of Medicine; from the College of Medicine (Alotaibi, Assiri, Altokhais, Alotaibi), King Saud University, Riyadh; and from the Department of Dermatology (Alkhowailed), College of Medicine, Qassim University, Buraidah, Qassim, Kingdom of Saudi Arabia.
| | - Mohammad S. Alkhowailed
- From the Department of Family and Community Medicine (Al-Shammari), College of Medicine; from the College of Medicine (Alotaibi, Assiri, Altokhais, Alotaibi), King Saud University, Riyadh; and from the Department of Dermatology (Alkhowailed), College of Medicine, Qassim University, Buraidah, Qassim, Kingdom of Saudi Arabia.
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