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Orchiopexy practice patterns in New York State from 1984 to 2002
Seth A Capello1, Louis J Giorgi, Barry A Kogan
1Division of Urology, Albany Medical College, South Clinical Campus. 23 Hackett Boulevard, Albany, NY 12208, USA. capels@juno.com
The Journal of Urology
|August 8, 2006
Summary
The rate of orchiopexy (undescended testes surgery) remained constant but was higher than recommended. Surgeries are now performed at younger ages, though most still occur after age two.
Area of Science:
- Pediatric Surgery
- Urology
- Public Health
Background:
- Cryptorchidism is a common birth defect, with environmental factors potentially increasing its incidence.
- The study investigates trends in surgical repair for undescended testes.
Purpose of the Study:
- To determine if the rate of surgery for undescended testes (orchiopexy) has increased over a 19-year period in New York State.
- To analyze trends in the age at which orchiopexy is performed.
Main Methods:
- Utilized the New York State Statewide Planning and Research Cooperative System database.
- Included all orchiopexies performed between 1984 and 2002, excluding those for testicular torsion.
- Analyzed 36,484 procedures.
Main Results:
- The overall orchiopexy rate was 1.39%, remaining constant but exceeding the accepted 0.8%-1.1% range.
- A significant shift occurred from inpatient to outpatient procedures.
- The proportion of orchiopexies performed before age 2 increased from 20% (1984-1988) to 37.8% (1999-2002).
Conclusions:
- Orchiopexy is increasingly performed at younger ages, though the majority are still delayed beyond the recommended age of 2 years.
- The persistently high rate suggests potential issues with delayed referrals or inclusion of conditions like retractile testes.
- Further investigation into referral patterns and diagnostic accuracy is warranted.