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Evaluation of the age at orchiopexy

Introduction. Undescended testis is the most common congenital anomaly of the
 male urogenital tract. The main issues associated with this condition are
 decreased fertility and an increased risk for testicular cancer, which are
 minimized if early orchiopexy is performed. The objective of this study is
 to evaluate the age at orchiopexy at the Institute of Child and Youth Health
 Care of Vojvodina and to compare it to international guidelines (American
 Urological Association, Canadian Urological Association and European
 Association of Urology). Material and Methods. A retrospective study
 included 457 patients operated on between 2010 and 2015. The recorded data
 were analyzed by Microsoft Excel Office 365 using means, medians, minimums,
 maximums and standard deviations where appropriate. The patient age and
 current recommendations for timing of orchiopexy were analyzed as well.
 Results. The mean age at orchiopexy was 69.47 months, and the median age was
 64 months. Considering each year separately, no significant differences
 between mean and median age at orchiopexy were found. The percentage of
 orchiopexies performed before 24 months was 29% and 5% were performed before
 12 months of age. The mean age at orchiopexy was 51.47 months later than
 recommended by current international guidelines. Conclusion. This study
 confirmed that the age at orchiopexy in our sample was significantly delayed
 than recommended. It is necessary for all medical practitioners involved in
 child health care to share new information, trends and
 diagnostic-therapeutic algorithms about undescended testis and consequences
 of late treatment.