Reduction in the number of orchidopexies for cryptorchidism after recognition of acquired undescended testis and implementation of expectative policy
article
Background: Since the mid-1990s, acquired undescended testis has gradually been recognised as a separate entity for which the efficacy of prepubertal surgery has not been univocally been demonstrated. Therefore, in our hospital, orchidopexy was no longer routinely performed for acquired undescended testis. Aim: To investigate the effect of expectative policy in our hospital on the number of orchidopexies. Methods: Two 5-year periods were compared. Period A (1991-1995), in which undescended testis was treated surgically, and period B (2000-2004), in which prepubertal orchidopexy in our hospital was no longer performed for acquired undescended testis. In addition, a comparison was made between the percentage reduction in hospital and national figures. Results: In period B, the number of orchidopexies in our hospital was reduced by 61.8% (from 387 to 148), mainly in the age group >6 years. Nationally, during the same period, the number of orchidopexies decreased only by 2.4% (from 18 024 to 17 591). Conclusion: The results of this study confirm that recognition of acquired undescended testis is crucial for reducing the high number of (late) orchidopexies. © 2007 The Author(s).
Topics
Jeugd en GezondheidAcquired undescended testisOrchidopexyarticlecomparative studycryptorchismhospitalizationhumanorchidopexyprepubertypriority journalretrospective studyAdolescentAge DistributionAge FactorsChildChild, PreschoolCryptorchidismFollow-Up StudiesHumansInfantMaleNetherlandsRetrospective StudiesTestisTreatment OutcomeUrologic Surgical Procedures, Male
TNO Identifier
240005
ISSN
08035253
Source
Acta Paediatrica, International Journal of Paediatrics, 96(6), pp. 915-918.
Pages
915-918
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