Orchidopexy for undescended testis is recommended at a younger age than heretofore; our study aimed to assess delays, and their causes, by retrospective analysis of data from a single tertiary care centre over one year (2015–2016). Almost 80% of children were brought after 1 year of age, mostly because of delayed referral by primary physicians (60%), or missed diagnosis by parents or primary physicians (20%). Misconception about the risk of surgery below 1 year was significant (15%). A timely referral is encouraged.
BevanAD. The operation for undescended testis: a further study and report. Ann Surg1929; 90: 847–863.
4.
EisendrathDN. Undescended testis. Ann Surg1926; 64: 324–328.
5.
GoelPRawatJDWakhluA, et al.Undescended testicle: an update on fertility in cryptorchid men. Indian J Med Res2015; 141: 163–171.
6.
HadziselimovicF. Opinion: comment on evaluation and treatment of cryptorchidism: AUA/AAP and Nordic consensus guidelines. Urol Int2016; 96: 249–254.
7.
MillerKDCoughlinMTLeePA. Fertility after unilateral cryptorchidism. Paternity, time to conception, pretreatment testicular location and size, hormone and sperm parameters. Horm Res2001; 55: 249–253.
8.
LeePACoughlinMT. Fertility after bilateral cryptorchidism. Evaluation by paternity, hormone, and semen data. Horm Res2001; 55: 28–32.
9.
HadziselimovicFHerzogB. The importance of both an early orchidopexy and germ cell maturation for fertility. Lancet2001; 358: 1156–1157.
10.
McAleerIMPackerMGKaplanGW, et al.Fertility index analysis in cryptorchidism. J Urol1995; 153: 1255–1258.
11.
RadmayrCDoganHSHoebekeP, et al.Management of undescended testes: European Association of Urology/European Society for paediatric urology guidelines. J Pediatr Urol2016; 12: 335–343.
12.
LeePACoughlinMTBellingerMF. No relationship of testicular size at orchiopexy with fertility in men who previously had unilateral cryptorchidism. J Urol2001; 166: 236–239.
13.
PetterssonARichiardiLNordenskjoldA,et al.Age at surgery for undescended testis and risk of testicular cancer. N Engl J Med2007; 356: 1835–1841.
UpadhyayVKothariMManoharanM. The referral pattern for undescended testes in Auckland. N Z Med J2001; 114: 310–311.
16.
GyawaliBBhattacharyyaSReidJA. Medical audit of community screening for undescended testes in Halton District. Public Health1993; 107: 343–347.
17.
HenselKOCaspersTJenkeAC, et al.Operative management of cryptorchidism: guidelines and reality—a 10-year observational analysis of 3587 cases. BMC Pediatr2015; 15: 116.
18.
SchneuerFJHollandAJPereiraG, et al.Age at surgery and outcomes of an undescended testis. Pediatrics2016; 137: e20152768.
