Title
Reduction in the number of orchidopexies for cryptorchidism after recognition of acquired undescended testis and implementation of expectative policy
Author
Hack, W.W.M.
Voort van der-Doedens, L.M.
Sijstermans, K.
Meijer, R.W.
Pierik, F.H.
TNO Kwaliteit van Leven
Publication year
2007
Abstract
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).
Subject
Urban Development
Health
Built Environment
Jeugd en Gezondheid
Acquired undescended testis
Orchidopexy
article
comparative study
cryptorchism
hospitalization
human
orchidopexy
prepuberty
priority journal
retrospective study
Adolescent
Age Distribution
Age Factors
Child
Child, Preschool
Cryptorchidism
Follow-Up Studies
Humans
Infant
Male
Netherlands
Retrospective Studies
Testis
Treatment Outcome
Urologic Surgical Procedures, Male
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http://resolver.tudelft.nl/uuid:c4e9409a-fc35-4360-8e1b-f4dcff221042
TNO identifier
240005
ISSN
0803-5253
Source
Acta Paediatrica, International Journal of Paediatrics, 96 (6), 915-918
Document type
article