Online ISSN: 2515-8260

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

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Dr. 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 postoperative 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 1.61±2.07 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

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