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. 2022 Aug 17;41(3):538–557. doi: 10.5534/wjmh.220019

Table 3. Testicular involvement in SARS-CoV-2 patients based on clinical and imaging results.

Study Infection classification (n) Age (y) Testicular manifestations (n) Time from confirmed COVID-19 infection to testicular involvement signs and symptoms (d)
Clinical Imaging (USG)
Bridwell et al [22] Mild 37 Bilateral scrotal discomfort, erythema without epididymal tenderness Bilateral orchitis 15
Best et al [24] - 40 (IQR=24.75) Bilateral scrotal pain (1) - 37 (IQR=23)
Haydar et al [40] - 7 Left scrotal redness, increased warmth and swelling with testicular tenderness and pain Left orchiepididymitis
Holtmann et al [49] Mild (14) 42.7±10.4 None - 43.5±6.2
Moderate (4) 40.8±8.7 Testicular discomfort (1) 47±5.3
Pan et al [33] Mild and moderate 37 (31-49) Scrotal discomfort suggestive of orchitis (6/34) - 31 (29–36)
Chen et al [34] Nonsevere 58.3 (43.0–73.0) Scrotal swelling or pain (3/142) Orchitis (3/142), epididymitis (7/142), orchiepididymitis (5/142) 7–30
Severe Scrotal swelling or pain (10/142) Orchitis (7/142), epididymitis (4/142), orchiepididymitis (10/142)
Gagliardi et al [50] - 14 Scrotal swelling and pain Orchiepididymitis of the right testis 14
Kim et al [27] - 42 Testicular pain - 2
La Marca et al [51] - 43 Testicular pain Epididymitis 3.5
Alkhatatbeh et al [42] Asymptomatic (53) 43 (1–78) Orchitis signs or symptoms (0/253) -
Mild (152)
Severe (48)
Ediz et al [43] - No testicular pain (37±28) Testicular pain and swelling (10/91) -
Testicular pain (46±31.5)
Özveri et al [45] 49 Left spermatic cord tenderness and tenderness Spermatic cord inflammation 2

IQR: interquartile range, USG: ultrasonography, -: not available.