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01-12-2023 | Undescended Testis | Original Article

Analysis of factors associated with undescended testis in patients with congenital diaphragmatic hernia

Authors: Satoshi Umeda, Masayuki Yoshida, Sayaka Matsumoto, Takaaki Sakai, Yuki Noguchi, Rei Matsuura, Masahiro Zenitani, Noriaki Usui

Published in: Pediatric Surgery International | Issue 1/2023

Abstract

Purpose

This study aimed to investigate the incidence and clinical factors associated with undescended testes (UDT) in patients with congenital diaphragmatic hernia (CDH).

Methods

We retrospectively reviewed the incidence of UDT in male neonates admitted to our institution and underwent surgery for CDH between January 2006 and December 2022. Patients were divided into two groups based on the presence or absence of UDT, and risk factors for UDT were compared between the two groups.

Results

Among the 66 male neonates with CDH, 16 (24.2%) developed UDT. Patients with UDT had a significantly smaller gestational age (p = 0.026), lower birth weight (p = 0.042), and lower Apgar score at 1 min (p = 0.016) than those without UDT. They had a significantly higher incidence of large diaphragmatic defects (p = 0.005), received more patch closures (p = 0.020), had a longer mechanical ventilation period (p = 0.034), and longer hospital stay (p = 0.028). Multiple logistic regression analysis revealed that large diaphragmatic defect was an independent risk factor for UDT (adjusted odds ratio of 3.87).

Conclusion

CDH and UDT are strongly correlated. In patients with CDH, the incidence of UDT was related not only to patients’ prematurity but also to the large diaphragmatic defect. Large diaphragmatic defect is an independent risk factor for UDT in patients with CDH.

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Title: Analysis of factors associated with undescended testis in patients with congenital diaphragmatic hernia
Authors: Satoshi Umeda
Masayuki Yoshida
Sayaka Matsumoto
Takaaki Sakai
Yuki Noguchi
Rei Matsuura
Masahiro Zenitani
Noriaki Usui
Publication date: 01-12-2023
Publisher: Springer Berlin Heidelberg
Keywords: Undescended Testis
Orchidopexy
Diaphragmatic Hernia
Diaphragmatic Hernia
Published in: Pediatric Surgery International / Issue 1/2023
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-023-05553-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Analysis of factors associated with undescended testis in patients with congenital diaphragmatic hernia

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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