Orchiopexy is being performed at an earlier age today than 2 decades ago. However, the majority of orchiopexies are not performed until after the recommended patient age of 2 years. The rate of orchiopexy is substantially higher than the accepted rate of 0.8% to 1.1%. Delayed referral to a surgeon, repair of retractile testicles and truly ascending testicles may account for these findings.

In our population renal ultrasound adds information to the radiographic evaluation of infants after a febrile urinary tract infection. This information alters treatment and parental counseling in a significant number of patients.

The overall rate of UPJ repair has not changed during the last 19 years, but there has been a substantial trend toward repair at an earlier age. This finding suggests that prenatal ultrasound has led to earlier diagnosis of UPJ obstruction, allowing earlier repair and obviating later repair. We also report the novel finding of a decreasing rate of pyeloplasty in males with age. This decrease was not observed in females.

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