Acta paediatrica (Oslo, Norway : 1992) · 2007
Reduction in the number of orchidopexies for cryptorchidism after recognition of acquired undescended testis and implementation of expectative policy.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
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Hack W W M, van der Voort-Doedens L M, Sijstermans K, Meijer R W, Pierik F H
Аннотация
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.
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.