Clinical and socioeconomic factors associated with delayed orchidopexy in cryptorchid boys in China: a retrospective study of 2423 cases / 亚洲男科学杂志(英文版)
Asian Journal of Andrology
; (6): 304-308, 2019.
Article
in En
| WPRIM
| ID: wpr-1009690
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WPRO
ABSTRACT
We investigated the associations of clinical and socioeconomic factors with delayed orchidopexy for cryptorchidism in China. A retrospective study was conducted on cryptorchid boys who underwent orchidopexy at Children's Hospital at Chongqing Medical University in China from January 2012 to December 2017. Of 2423 patients, 410 (16.9%) received timely repair by 18 months of age, beyond which surgery was considered delayed. Univariate analysis suggested that the laterality of cryptorchidism (P = 0.001), comorbidities including inguinal hernia/scrotal hydrocele (P < 0.001) or urinary tract disease (P = 0.016), and whether patients lived in a poverty county (P < 0.001) could influence whether orchidopexy was timely or delayed. Logistic regression analysis suggested that the following factors were associated with delayed repair: unilateral rather than bilateral cryptorchidism (odds ratio [OR] = 1.752, P < 0.001), absence of inguinal hernia or hydrocele (OR = 2.027, P = 0.019), absence of urinary tract disease (OR = 3.712, P < 0.001), and living in a poverty county (OR = 2.005, P < 0.001). The duration of postoperative hospital stay and hospital costs increased with the patient's age at the time of surgery.
Key words
Full text:
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Index:
WPRIM
Main subject:
Poverty
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Socioeconomic Factors
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China
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Retrospective Studies
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Age Factors
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Cryptorchidism
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Orchiopexy
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Time-to-Treatment
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Hernia, Inguinal
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Testicular Hydrocele
Limits:
Child
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Child, preschool
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Humans
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Infant
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Male
Country/Region as subject:
Asia
Language:
En
Journal:
Asian Journal of Andrology
Year:
2019
Type:
Article