A 22‐year retrospective study: educational update and new referral pattern of age at orchidopexy

Yi, Wei; Wu, Shengde; Wang, Yang-cai; Lin, Tao; He, Dawei; Li, Xuliang; Liu, Junhong; Liu, Xing; Hua, Yi; Peng, Lu; Zhang, Deying; Wen, Sheng; Wei, Guanghui

doi:10.1111/bju.13588

Cited by 21 publications

(32 citation statements)

References 25 publications

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“…This is a condition of newborns and infants, and a delay in surgery can lead to infertility and high risk of testicular cancers. At most centres, the target for surgery is within one year 31. In the present study, patients of cryptorchidism had a mean age of 19±4.7 years (range 15-39 years).…”

Section: Discussionmentioning

confidence: 75%

Histopathological pattern of testicular diseases in western Saudi Arabia

Albasri

Hussainy

2018

SMJ

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ObjectivesTo determine the histopathological pattern of testicular diseases among Saudi patients in Madinah, Saudi Arabia.MethodsThis retrospective histopathology-based study was conducted in a tertiary care hospital in Madinah, Saudi Arabia, from January 2006 to December 2017. The data collected were entered into MS-Excel and analyzed using the Statistical Packages for Social Sciences Version 19.ResultsOf the 199 testicular specimens received, 108 (54.3%) of the biopsies were taken for diagnostic test, while 91 (45.7%) were for therapeutic test. The male infertility was the only indication in the diagnostic group, accounting for 108 (54.3%) with a mean age of 28±7.9 years. Benign conditions of the testes were the most common indication in the therapeutic group accounting for 76 cases (38.2%), followed by 15 cases (7.5%) of testicular tumors. Hemorrhagic infarction from testicular torsion was the most common histologic patterns in benign testicular conditions group, accounting for 46 (23.2%) of the cases with a mean age of patients 32.1±8.1 years. Mixed non-seminomatous germ cell tumor was the most common primary tumor in 7 (3.5%) cases, followed by seminoma occurring in 5 (2.5%) cases. Mean ages for these patients were 33.7±8.1 years for primary tumor and 35.6±9.1 years for seminoma.ConclusionsThe pattern of testicular diseases on the basis of histopathology experience in the Madinah region appears to conform to world literature and KSA.

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Section: Discussionmentioning

confidence: 75%

Histopathological pattern of testicular diseases in western Saudi Arabia

Albasri

Hussainy

2018

SMJ

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“…Moreover, a German survey showed that 38% of primary care pediatricians believed that orchidopexy should be performed after the first year of life [14]. In addition, Wei et al found that 54% of healthcare practitioners believed that the optimum age for orchidopexy was between 24-36 months [16].…”

Section: Discussionmentioning

confidence: 99%

The Diagnosis and Treatment of Impalpable Testes at King Salman Armed Forces Hospital, Tabuk, Saudi Arabia

Alnoaiji

Ghmaird

Alshahrani

et al. 2020

Cureus

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Background Impalpable testes may be caused by atrophy, congenital dysgenesis/agenesis, or the presence of testes at unusual sites. Early intervention can improve patient outcomes. The recommended age for surgery ranges from 6 to 18 months. Objective To investigate the diagnosis, treatment, and outcomes of impalpable testes and sensitivity and specificity of ultrasonography to diagnose impalpable testes at King Salman Armed Forces Hospital (KSAFH), Tabuk, Saudi Arabia.

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“…The second most common age was 18-30 months between 1993 and 2014. 51) Among patients undergoing orchiopexy, 77% were older than 1 year and 42% were older than 2 years at orchiopexy. 6) Histological evidence suggests that orchiopexy should be performed within the first year of life (no later than 2 years of age) to protect fertility.…”

Section: Surgical Therapymentioning

confidence: 95%

“…50) To enhance spermatogenesis and increase testicular volume, the recommended age of orchiopexy decreased from 48-72 months in 1986 to 18-24 months and recently 6-12 months of age. 51,52) However, large number of boys still undergo orchiopexy after 18 months of age. The median age for orchiopexy was 48 months between 1993 and 2000 and 36 months between 2000 and 2010 in 3784 orchiopexies over 22 years.…”

Section: Surgical Therapymentioning

confidence: 99%

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Comparison of diagnostic and treatment guidelines for undescended testis

Shin

Jeon

2020

Clin Exp Pediatr

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Cryptorchidism or undescended testis is the single most com mon genitourinary disease in male neonates. In most cases, the testes will descend spontaneously by 3 months of age. If the testes do not descend by 6 months of age, the probability of spontaneous descent thereafter is low. About 1%-2% of boys older than 6 months have undescended testes after their early postnatal descent. In some cases, a testis vanishes in the abdomen or reascends after birth which was present in the scrotum at birth. An inguinal undescended testis is sometimes mistaken for an inguinal hernia. A surgical specialist referral is recommended if descent does not occur by 6 months, unde scended testis is newly diagnosed after 6 months of age, or testicular torsion is suspected. International guidelines do not recommend ultrasonography or other diagnostic imaging because they cannot add diagnostic accuracy or change treat ment. Routine hormonal therapy is not recommended for undescended testis due to a lack of evidence. Orchiopexy is recommended between 6 and 18 months at the latest to pro tect the fertility potential and decrease the risk of malignant changes. Patients with unilateral undescended testis have an infertility rate of up to 10%. This rate is even higher in patients with bilateral undescended testes, with intraabdominal un de scended testis, or who underwent delayed orchiopexy. Pa tients with undescended testis have a threefold increased risk of testicular cancer later in life compared to the general pop ulation. Selfexamination after puberty is recommended to facilitate early cancer detection. A timely referral to a surgical specialist and timely surgical correction are the most important factors for decreasing infertility and testicular cancer rates.

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A 22‐year retrospective study: educational update and new referral pattern of age at orchidopexy

Cited by 21 publications

References 25 publications

Histopathological pattern of testicular diseases in western Saudi Arabia

Histopathological pattern of testicular diseases in western Saudi Arabia

The Diagnosis and Treatment of Impalpable Testes at King Salman Armed Forces Hospital, Tabuk, Saudi Arabia

Comparison of diagnostic and treatment guidelines for undescended testis

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