Skip to main content
Top
Published in: Italian Journal of Pediatrics 1/2018

Open Access 01-12-2018 | Research

Management of undescended testis may be improved with educational updates and new transferring model

Authors: Wei Yi, Wu Sheng-de, Shen Lian-Ju, Lin Tao, He Da-wei, Wei Guang-hui

Published in: Italian Journal of Pediatrics | Issue 1/2018

Login to get access

Abstract

Background

To investigate whether management of undescended testis (UDT) may be improved with educational updates and new transferring model among referring providers (RPs).

Methods

The age of orchidopexies performed in Children’s Hospital of Chongqing Medical University were reviewed. We then proposed educational updates and new transferring model among RPs. The age of orchidopexies performed after our intervention were collected. Data were represented graphically and statistical analysis Chi-square for trend were used.

Results

A total of 1543 orchidopexies were performed. The median age of orchidopexy did not matched the target age of 6–12 months in any subsequent year. Survey of the RPs showed that 48.85% of their recommended age was below 12 months. However, only 25.50% of them would directly make a surgical referral to pediatric surgery specifically at this point. After we proposed educational updates, tracking the age of orchidopexy revealed a statistically significant trend downward.

Conclusions

The management of undescended testis may be improved with educational updates and new transferring model among primary healthcare practitioners.
Literature
1.
go back to reference Hutson JM, Hasthorpe S, Anatomical HCF. Functional aspects of testicular descent and cryptorchidism. Endocr Rev. 1997;18(2):259–80.PubMed Hutson JM, Hasthorpe S, Anatomical HCF. Functional aspects of testicular descent and cryptorchidism. Endocr Rev. 1997;18(2):259–80.PubMed
2.
go back to reference Ashley RA, Barthold JS, Kolon TF. Cryptorchidism: pathogenesis, diagnosis, treatment and prognosis. Urol Clin North Am. 2010;37(2):183–93.CrossRefPubMed Ashley RA, Barthold JS, Kolon TF. Cryptorchidism: pathogenesis, diagnosis, treatment and prognosis. Urol Clin North Am. 2010;37(2):183–93.CrossRefPubMed
3.
4.
go back to reference Berkowitz GS, Lapinski RH, Dolgin SE, Gazella JG, Bodian CA, Holzman IR. Prevalence and natural history of cryptorchidism. Pediatrics. 1993;92(1):44–9.PubMed Berkowitz GS, Lapinski RH, Dolgin SE, Gazella JG, Bodian CA, Holzman IR. Prevalence and natural history of cryptorchidism. Pediatrics. 1993;92(1):44–9.PubMed
5.
go back to reference Kollin C, Karpe B, Hesser U, Granholm T, Ritzen EM. Surgical treatment of unilaterally undescended testes: testicular growth after randomization to orchiopexy at age 9 months or 3 years. J Urol. 2007;178(4 Pt 2):1589–93. discussion 1593CrossRefPubMed Kollin C, Karpe B, Hesser U, Granholm T, Ritzen EM. Surgical treatment of unilaterally undescended testes: testicular growth after randomization to orchiopexy at age 9 months or 3 years. J Urol. 2007;178(4 Pt 2):1589–93. discussion 1593CrossRefPubMed
6.
go back to reference Canavese F, Mussa A, Manenti M, et al. Sperm count of young men surgically treated for cryptorchidism in the first and second year of life: fertility is better in children treated at a younger age. Eur J Pediatr Surg. 2009;19(6):388–91.CrossRefPubMed Canavese F, Mussa A, Manenti M, et al. Sperm count of young men surgically treated for cryptorchidism in the first and second year of life: fertility is better in children treated at a younger age. Eur J Pediatr Surg. 2009;19(6):388–91.CrossRefPubMed
7.
go back to reference Ritzen EM, Bergh A, Bjerknes R, et al. Nordic consensus on treatment of undescended testes. Acta Paediatr. 2007;96(5):638–43.CrossRefPubMed Ritzen EM, Bergh A, Bjerknes R, et al. Nordic consensus on treatment of undescended testes. Acta Paediatr. 2007;96(5):638–43.CrossRefPubMed
8.
go back to reference Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia. American Academy of Pediatrics. Pediatrics. 1996;97(4):590–4. Timing of elective surgery on the genitalia of male children with particular reference to the risks, benefits, and psychological effects of surgery and anesthesia. American Academy of Pediatrics. Pediatrics. 1996;97(4):590–4.
9.
go back to reference Kokorowski PJ, Routh JC, Graham DA, Nelson CP. Variations in timing of surgery among boys who underwent orchidopexy for cryptorchidism. Pediatrics. 2010;126(3):e576–82.CrossRefPubMedPubMedCentral Kokorowski PJ, Routh JC, Graham DA, Nelson CP. Variations in timing of surgery among boys who underwent orchidopexy for cryptorchidism. Pediatrics. 2010;126(3):e576–82.CrossRefPubMedPubMedCentral
10.
go back to reference Bradshaw CJ, Corbet-Burcher G, Hitchcock R. Age at orchidopexy in the UK: has new evidence changed practice. J Pediatr Urol. 2014;10(4):758–62.CrossRefPubMed Bradshaw CJ, Corbet-Burcher G, Hitchcock R. Age at orchidopexy in the UK: has new evidence changed practice. J Pediatr Urol. 2014;10(4):758–62.CrossRefPubMed
11.
go back to reference Rusnack SL, Wu HY, Huff DS, et al. The ascending testis and the testis undescended since birth share the same histopathology. J Urol. 2002;168(6):2590–1.CrossRefPubMed Rusnack SL, Wu HY, Huff DS, et al. The ascending testis and the testis undescended since birth share the same histopathology. J Urol. 2002;168(6):2590–1.CrossRefPubMed
12.
go back to reference Kollin C, Hesser U, Ritzen EM, Karpe B. Testicular growth from birth to two years of age, and the effect of orchidopexy at age nine months: a randomized, controlled study. Acta Paediatr. 2006;95(3):318–24.CrossRefPubMed Kollin C, Hesser U, Ritzen EM, Karpe B. Testicular growth from birth to two years of age, and the effect of orchidopexy at age nine months: a randomized, controlled study. Acta Paediatr. 2006;95(3):318–24.CrossRefPubMed
13.
go back to reference Lim KT, Casey RG, Lennon F, Gillen P, Stokes M. Cryptorchidism: a general surgical perspective. Ir J Med Sci. 2003;172(3):139–40.CrossRefPubMed Lim KT, Casey RG, Lennon F, Gillen P, Stokes M. Cryptorchidism: a general surgical perspective. Ir J Med Sci. 2003;172(3):139–40.CrossRefPubMed
14.
go back to reference Thorup J, Jensen CL, Langballe O, Petersen BL, Cortes D. The challenge of early surgery for cryptorchidism. Scand J Urol Nephrol. 2011;45(3):184–9.CrossRefPubMed Thorup J, Jensen CL, Langballe O, Petersen BL, Cortes D. The challenge of early surgery for cryptorchidism. Scand J Urol Nephrol. 2011;45(3):184–9.CrossRefPubMed
16.
go back to reference Mirilas P, Mentessidou A, Kontis E, Argyris I, Tsitouridis I, Petropoulos A. Sonographic evidence for patency of the processus vaginalis in children with acquired undescended testis. Int J Androl. 2011;34(1):49–54.CrossRefPubMed Mirilas P, Mentessidou A, Kontis E, Argyris I, Tsitouridis I, Petropoulos A. Sonographic evidence for patency of the processus vaginalis in children with acquired undescended testis. Int J Androl. 2011;34(1):49–54.CrossRefPubMed
17.
go back to reference Kim SO, Hwang EC, Hwang IS, et al. Testicular catch up growth: the impact of orchiopexy age. Urology. 2011;78(4):886–9.CrossRefPubMed Kim SO, Hwang EC, Hwang IS, et al. Testicular catch up growth: the impact of orchiopexy age. Urology. 2011;78(4):886–9.CrossRefPubMed
Metadata
Title
Management of undescended testis may be improved with educational updates and new transferring model
Authors
Wei Yi
Wu Sheng-de
Shen Lian-Ju
Lin Tao
He Da-wei
Wei Guang-hui
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Italian Journal of Pediatrics / Issue 1/2018
Electronic ISSN: 1824-7288
DOI
https://doi.org/10.1186/s13052-018-0499-4

Other articles of this Issue 1/2018

Italian Journal of Pediatrics 1/2018 Go to the issue