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Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad

Alaa Al Deen Al Dabbagh.

Abstract
Background: Undescended testis (UDT) is the most prevalent genital abnormality in boys and owing to its long-run complications, it must be managed before one year of life.
Objectives: was to determine the age of presentation of UDT to our institution, the age at surgical intervention, application of current guidelines and the outcome of surgery.
Patients and methods: We prospectively studied 70 boys with UDT admitted for orchiopexy at urology center in Al-Yarmouk Teaching Hospital/Baghdad/Iraq in 2017-2019. Patients were distributed into 3 age groups based on the time of surgery; age ≤ 1 year (group 1), 1 < age ≤ 2 years (group 2) and age > 2 years (group 3). Laterality of UDT, palpability, age at diagnosis and surgical treatment, kind of surgical procedure and post-operative complications were evaluated
Results: Of the 70 children included in the study, 75.7% exhibited unilateral cryptorchidism, 78.5% testes were inguinally sited (most common). Most testicles were palpable clinically (69%). The mean age at time of diagnosis was 1.612.07 years whereas at time of surgery was 2.46 2.37 years. The mean interval between diagnosis and surgical treatment was 10.2 0.78 months. Boys who underwent surgery before their 1st birthday, before 2nd birthday or later were 4.3%, 30% and 65.7% respectively. Open surgical technique performed in 95.7% of cases
Conclusion: Most patients comprised in the study underwent surgery at an age later than recommended by international guidelines due mainly to delayed referral and delay by parents. This issue can be overwhelmed by updating the awareness concerning UDT management

Key words: undescended testis, cryprorchidism, orchiopexy


 
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Pubmed Style

Alaa Al - Deen Al - Dabbagh. Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad. doi:https://doi.org/10.31838/ejmcm.07.02.29


Web Style

Alaa Al - Deen Al - Dabbagh. Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad. http://www.ejmcm.com/?mno=134807 [Access: October 13, 2020]. doi:https://doi.org/10.31838/ejmcm.07.02.29


AMA (American Medical Association) Style

Alaa Al - Deen Al - Dabbagh. Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad. doi:https://doi.org/10.31838/ejmcm.07.02.29



Vancouver/ICMJE Style

Alaa Al - Deen Al - Dabbagh. Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad. doi:https://doi.org/10.31838/ejmcm.07.02.29



Harvard Style

Alaa Al - Deen Al - Dabbagh (2020) Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad. doi:https://doi.org/10.31838/ejmcm.07.02.29



Turabian Style

Alaa Al - Deen Al - Dabbagh. 2020. Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad. doi:https://doi.org/10.31838/ejmcm.07.02.29



Chicago Style

Alaa Al - Deen Al - Dabbagh. "Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad." doi:https://doi.org/10.31838/ejmcm.07.02.29



MLA (The Modern Language Association) Style

Alaa Al - Deen Al - Dabbagh. "Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad." doi:https://doi.org/10.31838/ejmcm.07.02.29



APA (American Psychological Association) Style

Alaa Al - Deen Al - Dabbagh (2020) Age at Diagnosis and Surgery for Cryptorchidism: A Single Center Study in Baghdad. doi:https://doi.org/10.31838/ejmcm.07.02.29








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