Undescended testes: Does age at orchiopexy affect survival of the testis?

Jeffrey S. Carson, Robert Cusick, Andrea Mercer, Adrienne Ashley, Shahab Abdessalam, Stephen Raynor, Elizabeth Lyden, Kenneth Azarow

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Purpose The optimal age at which to perform orchiopexy for cryptorchidism has long been debated. The aim of this study was to determine if age at orchiopexy affected testicular atrophy. Methods A retrospective review of patients undergoing orchiopexy from 2000 to 2010 was conducted. An individual testis, rather than patient, was used as the dependent variable. A total of 349 testicles from 1126 charts (ICD-9 = 752.51) were identified. Primary study outcome was testicular survival without atrophy. Results Mean follow up for the study was 25 months. There was postoperative atrophy in 27 testes (7.7%). Intraabdominal testicle was independently associated with increased postsurgical atrophy (p < 0.0001). The odds of postsurgical atrophy were 15.66 times higher for an abdominal vs. inguinal location (95% CI: 5.5-44.6). Testicular atrophy was highest for orchiopexy at ages 13-24 months (n = 16 of 133, 12%) vs. those less than 13 months (n = 3 of 64, 5%), and those greater than 24 months (n = 8 of 152, 5%) (p = 0.0024). After adjusting for location, age was not statistically significant with postsurgical atrophy (p = 0.055). Conclusions From this study we conclude that there is no increase in testicular atrophy in patients less than 13 months.

Original languageEnglish (US)
Pages (from-to)770-773
Number of pages4
JournalJournal of pediatric surgery
Volume49
Issue number5
DOIs
StatePublished - May 2014

Keywords

  • Age
  • Cryptorchidism
  • Orchiopexy
  • Testicular atrophy

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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    Carson, J. S., Cusick, R., Mercer, A., Ashley, A., Abdessalam, S., Raynor, S., Lyden, E., & Azarow, K. (2014). Undescended testes: Does age at orchiopexy affect survival of the testis? Journal of pediatric surgery, 49(5), 770-773. https://doi.org/10.1016/j.jpedsurg.2014.02.065