Orchidopexy for undescended testis—rate and predictors of re-ascent
Selin, Caroline ; Hallabro, Nilla LU
; Anderberg, Magnus
LU
; Börjesson, Anna
LU
and Salö, Martin
LU
(2024)
In Pediatric Surgery International
40(1).
- Abstract
Purpose: This study aimed to investigate the rate of re-ascent requiring re-operation after primary orchidopexy and to investigate eventual differences between the inguinal and scrotal approach as well as other potential predictors for re-ascent. Methods: A retrospective cohort study of children treated for undescended testis (UDT) with orchidopexy between 2018 and 2022 was conducted. The primary outcome was re-ascent requiring re-operation, and the secondary outcome was atrophy rate. Independent variables were age, underlying conditions, side, surgical approach, operation time, bilaterality, congenital/ascended UDT, presence of scrotal hypoplasia, presence of a patent processus vaginalis, division of external oblique, and suture of the... (More)
Purpose: This study aimed to investigate the rate of re-ascent requiring re-operation after primary orchidopexy and to investigate eventual differences between the inguinal and scrotal approach as well as other potential predictors for re-ascent. Methods: A retrospective cohort study of children treated for undescended testis (UDT) with orchidopexy between 2018 and 2022 was conducted. The primary outcome was re-ascent requiring re-operation, and the secondary outcome was atrophy rate. Independent variables were age, underlying conditions, side, surgical approach, operation time, bilaterality, congenital/ascended UDT, presence of scrotal hypoplasia, presence of a patent processus vaginalis, division of external oblique, and suture of the testis. Univariate and logistic regression were used to evaluate differences between groups and risk for re-ascent. Results: A total of 662 testes in 554 patients were included. Re-operation occurred in 6% (7% with inguinal approach, 3% with scrotal approach, p = 0.04). Re-operation was associated with younger age, congenital UDT, and inguinal approach, but neither of these variables remained significant in multivariate analyses. Atrophy occurred in one testis. Conclusion: The rate of re-ascent was 6% and the atrophy rate was 0.15%. A larger study may find predictors for re-ascent but with very low absolute risk. The lower rate of re-ascent with the scrotal approach is probably due to selection bias.
(Less)
- author
- Selin, Caroline
; Hallabro, Nilla
LU
; Anderberg, Magnus
LU
; Börjesson, Anna
LU
and Salö, Martin
LU
- organization
- publishing date
- 2024-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Follow-up, Orchidopexy, Re-ascent, Re-operation, UDT
- in
- Pediatric Surgery International
- volume
- 40
- issue
- 1
- article number
- 139
- publisher
- Springer
- external identifiers
-
- scopus:85194876457
- pmid:38806810
- ISSN
- 0179-0358
- DOI
- 10.1007/s00383-024-05729-6
- language
- English
- LU publication?
- yes
- id
- 19186f7e-a4cd-461c-bb9b-64577d274fcc
- date added to LUP
- 2024-07-03 14:41:03
- date last changed
- 2024-07-03 14:42:21
@article{19186f7e-a4cd-461c-bb9b-64577d274fcc,
abstract = {{<p>Purpose: This study aimed to investigate the rate of re-ascent requiring re-operation after primary orchidopexy and to investigate eventual differences between the inguinal and scrotal approach as well as other potential predictors for re-ascent. Methods: A retrospective cohort study of children treated for undescended testis (UDT) with orchidopexy between 2018 and 2022 was conducted. The primary outcome was re-ascent requiring re-operation, and the secondary outcome was atrophy rate. Independent variables were age, underlying conditions, side, surgical approach, operation time, bilaterality, congenital/ascended UDT, presence of scrotal hypoplasia, presence of a patent processus vaginalis, division of external oblique, and suture of the testis. Univariate and logistic regression were used to evaluate differences between groups and risk for re-ascent. Results: A total of 662 testes in 554 patients were included. Re-operation occurred in 6% (7% with inguinal approach, 3% with scrotal approach, p = 0.04). Re-operation was associated with younger age, congenital UDT, and inguinal approach, but neither of these variables remained significant in multivariate analyses. Atrophy occurred in one testis. Conclusion: The rate of re-ascent was 6% and the atrophy rate was 0.15%. A larger study may find predictors for re-ascent but with very low absolute risk. The lower rate of re-ascent with the scrotal approach is probably due to selection bias.</p>}},
author = {{Selin, Caroline and Hallabro, Nilla and Anderberg, Magnus and Börjesson, Anna and Salö, Martin}},
issn = {{0179-0358}},
keywords = {{Follow-up; Orchidopexy; Re-ascent; Re-operation; UDT}},
language = {{eng}},
number = {{1}},
publisher = {{Springer}},
series = {{Pediatric Surgery International}},
title = {{Orchidopexy for undescended testis—rate and predictors of re-ascent}},
url = {{http://dx.doi.org/10.1007/s00383-024-05729-6}},
doi = {{10.1007/s00383-024-05729-6}},
volume = {{40}},
year = {{2024}},
}