Age at orchiopexy for undescended testis in the United States |
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Authors: | Kibileri Williams Lauren Baumann Adil Shah Fizan Abdullah Emilie K. Johnson Tolulope A. Oyetunji |
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Affiliation: | 1. Ann & Robert H. Lurie Children''s Hospital of Chicago, 225 E. Chicago Ave, Box 63, Chicago, IL, 60611;2. Northwestern University Feinberg School of Medicine, 420 E. Superior St, Chicago, IL, 60611;3. Howard University Hospital, 2041 Georgia Avenue NW, Washington DC, 20060;4. Children''s Mercy Kansas City, 2401 Gillham Rd., Kansas City, MO, 64108 |
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Abstract: | PurposeUndescended testis (UDT) is the most common congenital anomaly of the male genitalia. The American Urological Association guidelines recommend orchiopexy by age 18 months to ameliorate the risk of subfertility. The study aim was to assess adherence to these guidelines on a national level.MethodsWe retrospectively reviewed both the State Ambulatory Surgery Database (SASD) in 2012 and the Pediatric Health Information System (PHIS) for 2015. All patients aged 18 years or less with a diagnosis of UDT who underwent orchiopexy were included. Demographic data including age at repair as well as surgical subspecialty and payer status were extracted.ResultsAnalysis of the 2012 SASD for New Jersey, Florida, and Maryland yielded 1654 patients. The majority were white, 791 (48.3%), with a median age at repair of 4 years (IQR 1–8). Most patients, 1048 (64%), had orchiopexy later than age 2. A total of 844 males were identified from the PHIS database. Of these, 63% were white. The median age at repair was 5 years (IQR 1–9). There were 577 (68%) patients older than 2 years at orchiopexy.ConclusionAlmost 70% of boys with undescended testes in the United States are undergoing orchiopexy at least 6 months later than the recommended age.Type of studyRetrospective.Level of evidenceIII. |
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Keywords: | Undescended testis Orchiopexy Cryptorchidism Age |
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