Clinical and socioeconomic factors associated with delayed orchidopexy in cryptorchid boys in China: a retrospective study of 2423 cases.

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.

• Authors: Tian-Xin Zhao, Bin Liu, Yue-Xin Wei, Yi Wei, Xiang-Liang Tang, Lian-Ju Shen, Chun-Lan Long, Tao Lin, Sheng-De Wu, Guang-Hui Wei
• Journal: Asian journal of andrology (Asian J Androl) 2019 May-Jun Vol. 21 Issue 3 Pg. 304-308 ISSN: 1745-7262 [Electronic] China
• PMID: 30632485 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Age Factors
• Child
• Child, Preschool
• China (epidemiology)
• Cryptorchidism (complications, epidemiology, surgery)
• Hernia, Inguinal
• Humans
• Infant
• Male
• Orchiopexy (statistics & numerical data)
• Poverty
• Retrospective Studies
• Socioeconomic Factors
• Testicular Hydrocele
• Time-to-Treatment