Objectives: This study aimed to investigate whether COVID-19 pandemic influenced the outcome of testicular torsion in three parameters: longer duration of symptoms, delay in the presentation to the medical facility, and orchidectomy rate when compared to the period prior to COVID-19 pandemic. Methods: Four scientific bases were systematically searched for relevant articles. The terms used in the search were (coronavirus OR novel coronavirus OR COVID-19 OR SARS-CoV-2) AND (testicular torsion OR orchidopexy OR orchidectomy OR orchiectomy OR orchiopexy). All boys suffering from testicular torsion prior COVID-19 and those suffering during COVID-19 period were eligible by inclusion criteria. Two groups were compared by the average duration of symptoms, the fraction of patients who presented with a delay (>24 h), and by the proportion of patients requiring orchidectomy. Methodological quality assessment was performed using the Downs and Black scale. Results: This review consists of six comparative studies, five of which are retrospective, and one prospective cohort. 711 patients in total were included, 473 of whom presented during the COVID- 19 period. There was no significant discrepancy observed among the two patient groups in all three parameters: the average duration of symptoms (WMD: 2.6, 95% CI -6.78–11.99, P=0.59), the fraction of patients with delayed presentation (RR=1.03, 95% CI 0.52–2.02, P=0.94), and orchidectomy rate (RR=1.23, 95% CI 0.82–1.84, P=0.31). A moderate risk of bias was present in all included studies. Conclusion: There was no statistically significant difference in the duration of symptoms, the fraction of patients with delayed presentation and the rate of orchidectomy procedures performed among the patients presenting with testicular torsion during COVID-19 pandemic and pre- COVID-19 pandemic. However, there is a limitation in strength of evidence in the comparative studies we included, the reason behind such limitation is a moderate risk of bias presented in these studies.