Print Email Facebook Twitter Reduction in the number of orchidopexies for cryptorchidism after recognition of acquired undescended testis and implementation of expectative policy 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 DevelopmentHealthBuilt EnvironmentJeugd en GezondheidAcquired undescended testisOrchidopexyarticlecomparative studycryptorchismhospitalizationhumanorchidopexyprepubertypriority journalretrospective studyAdolescentAge DistributionAge FactorsChildChild, PreschoolCryptorchidismFollow-Up StudiesHumansInfantMaleNetherlandsRetrospective StudiesTestisTreatment OutcomeUrologic Surgical Procedures, Male To reference this document use: 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 Files To receive the publication files, please send an e-mail request to TNO Library.