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Asian Journal of Andrology ; (6): 304-308, 2019.
Artigo em Inglês | WPRIM | ID: wpr-1009690

RESUMO

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.


Assuntos
Criança , Pré-Escolar , Humanos , Lactente , Masculino , Fatores Etários , China/epidemiologia , Criptorquidismo/cirurgia , Hérnia Inguinal , Orquidopexia/estatística & dados numéricos , Pobreza , Estudos Retrospectivos , Fatores Socioeconômicos , Hidrocele Testicular , Tempo para o Tratamento
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