VARIATIONS IN TIMING OF ELECTIVE ORCHIDOPEXY.
2016
Introduction. Undescended testis or cryptorchidism is detected in 3% of
full-term male newborns, and in up to 33% of preemies. As the testicular
descent may sometimes resolve spontaneously during first months of life,
cryptorchidism is found in 1% of boys one year old. According to Consensus of
Nordic experts in pediatric urology regarding cryptorchidism the optimal
period for surgery is 12-18 months of age. The goal of this study was to
identify the age of patients with congenital undescended testis at the time
of surgery. Material and Methods. A retrospective study included all the
cases of cryptorchid patients who had undergone orchidopexy in the period
from 2007 to 2014. The patients’ age and the place of residence were
analyzed. Results. A total of 637 patients (722 orchidopexies) underwent the
elective operative treatment of undescended testis during the observed
period. The analysis revealed that only 144 (22.60%) of cryptorchid infants
were operated on within their first 18 months of life. In the group of 359
patients from the urban environment, 101 (28.13%) were operated under the age
of 18 months. Among the 278 patients from the rural environment, 43 (15.46%)
were 18 months and younger at the time of surgery. Conclusion. The timing of
surgical treatment of undescended testis in the study period was far from the
recommended optimal time. It is evidently necessary to plan and provide
additional information for pediatricians and parents about the current view
on cryptorchidism and consequences of the late treatment.
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