Age at orchiopexy for undescended testis in the United States

Kibileri Williams, Lauren Baumann, Adil Shah, Fizan Abdullah, Emilie K. Johnson, Tolulope A. Oyetunji*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Purpose: Undescended 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. Methods: We 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. Results: Analysis 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. Conclusion: Almost 70% of boys with undescended testes in the United States are undergoing orchiopexy at least 6 months later than the recommended age. Type of study: Retrospective. Level of evidence: III.

Original languageEnglish (US)
Pages (from-to)86-89
Number of pages4
JournalJournal of pediatric surgery
Volume53
Issue number1
DOIs
StatePublished - Jan 2018

Keywords

  • Age
  • Cryptorchidism
  • Orchiopexy
  • Undescended testis

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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