Objective: To preserve testicular functions, surgery for undescended testis is recommended between 6 and 18 months of age. However, many patients undergo orchiopexy later than recom- mended ages. In this paper we aimed to assess influence of socio-economic development level of Van province on age at orchiopexy performed at our center.
Material and Methods: The medical records of the patients who underwent orchiopexy at Van Education and Research Hospital between January 2014 and July 2018 were reviewed in this cross-sec- tional study. Patients were divided into two groups based on age at operation. The surgery which was performed at 18 months of age and later has been defined as “late” orchiopexy. Mean age at orchio- pexy was investigated and results were discussed by comparing with other similar studies.
Results: The mean age of 353 patients enrol- led in this study was 4.9 ± 3.5 years and of them, 242 (68.5%) had late orchiopexy. According to the ‘’Research of socio-economic development of the provinces and regions’’ report published by Mi- nistry of Development in 2011, Van province was in the underdeveloped provinces group and ran- ked as 75th of 81.
Conclusion: Although most of boys included in the study underwent orchiopexy at a later age than suggested, our results were similar with ot- her national and international studies. Socio-eco- nomic development level of city is an important reason but there are some other factors causing the late surgery. We think that increasing the parents’ education level and regular home visits by primary
care providers will be effective on early orchiopexy.
Keywords: age, orchiopexy, socioeconomic status, undescended testis
Abstract
Objective: To preserve testicular functions, surgery for undescended testis is recommended between 6 and 18 months of age. However, many patients undergo orchiopexy later than recom- mended ages. In this paper we aimed to assess influence of socio-economic development level of Van province on age at orchiopexy performed at our center.
Material and Methods: The medical records of the patients who underwent orchiopexy at Van Education and Research Hospital between January 2014 and July 2018 were reviewed in this cross-sec- tional study. Patients were divided into two groups based on age at operation. The surgery which was performed at 18 months of age and later has been defined as “late” orchiopexy. Mean age at orchio- pexy was investigated and results were discussed by comparing with other similar studies.
Results: The mean age of 353 patients enrol- led in this study was 4.9 ± 3.5 years and of them, 242 (68.5%) had late orchiopexy. According to the ‘’Research of socio-economic development of the provinces and regions’’ report published by Mi- nistry of Development in 2011, Van province was in the underdeveloped provinces group and ran- ked as 75th of 81.
Conclusion: Although most of boys included in the study underwent orchiopexy at a later age than suggested, our results were similar with ot- her national and international studies. Socio-eco- nomic development level of city is an important reason but there are some other factors causing the late surgery. We think that increasing the parents’ education level and regular home visits by primary
care providers will be effective on early orchiopexy.
Keywords: age, orchiopexy, socioeconomic status, undescended testis