Assessment of factors associated with delayed diagnosis of cryptorchidism and orchidopexy.

IF 0.9 Q4 UROLOGY & NEPHROLOGY

Urology Annals Pub Date : 2026-07-01 Epub Date: 2026-07-13 DOI:10.4103/ua.ua_150_25

Nuwayyir Abdullah Alqasimi, Lujain Hatim Aljohani, Naif Mohammed Alzahrani, Faisal Bader Almuqbil, Hesham Naser Alotaibi, Moayad Yasser Alamoudi, Ali Abdulaziz Alyami, Ahmad Shammari, Yasser Jamalalail, Fayez Al Modhen, Tariq Burki

{"title":"Assessment of factors associated with delayed diagnosis of cryptorchidism and orchidopexy.","authors":"Nuwayyir Abdullah Alqasimi, Lujain Hatim Aljohani, Naif Mohammed Alzahrani, Faisal Bader Almuqbil, Hesham Naser Alotaibi, Moayad Yasser Alamoudi, Ali Abdulaziz Alyami, Ahmad Shammari, Yasser Jamalalail, Fayez Al Modhen, Tariq Burki","doi":"10.4103/ua.ua_150_25","DOIUrl":null,"url":null,"abstract":"Background: Undescended testis (UDT) is a congenital anomaly. Early orchidopexy preserves fertility and reduces the risk of malignancy. However, delays in diagnosis and surgeries remain common in Saudi Arabia.Objectives: Our study aims to determine the hospital-based proportion of UDT at our facility and factors associated with delayed orchidopexy in patients with a diagnosis or suspicion of UDT. This hospital-based study does not estimate population-level incidence or prevalence.Methodology: This study included children (0-14 years) with cryptorchidism (2018-2023). SPSS v25 analyzed data from the hospital's database, with descriptive statistics, Chi-square tests, t-tests, and multivariate logistic regression (P < 0.05).Results: Multivariate analysis identified that referrals from pediatric physicians had an odds ratio (OR) of 2.512 (P = 0.041) for delayed surgery, while normal testis at birth reduced the OR 0.184 (P = 0.005).Conclusion: In our center, orchidopexy timing is significantly delayed, and the hospital-based proportion of UDT represents a substantial clinical burden. In our center, delays are associated with unstructured referral pathways and inadequate neonatal screening. Standardizing referrals and implementing structured neonatal screening are crucial.","PeriodicalId":23633,"journal":{"name":"Urology Annals","volume":"18 3","pages":"259-265"},"PeriodicalIF":0.9000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13441027/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Annals","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/ua.ua_150_25","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/7/13 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Undescended testis (UDT) is a congenital anomaly. Early orchidopexy preserves fertility and reduces the risk of malignancy. However, delays in diagnosis and surgeries remain common in Saudi Arabia.

Objectives: Our study aims to determine the hospital-based proportion of UDT at our facility and factors associated with delayed orchidopexy in patients with a diagnosis or suspicion of UDT. This hospital-based study does not estimate population-level incidence or prevalence.

Methodology: This study included children (0-14 years) with cryptorchidism (2018-2023). SPSS v25 analyzed data from the hospital's database, with descriptive statistics, Chi-square tests, t-tests, and multivariate logistic regression (P < 0.05).

Results: Multivariate analysis identified that referrals from pediatric physicians had an odds ratio (OR) of 2.512 (P = 0.041) for delayed surgery, while normal testis at birth reduced the OR 0.184 (P = 0.005).

Conclusion: In our center, orchidopexy timing is significantly delayed, and the hospital-based proportion of UDT represents a substantial clinical burden. In our center, delays are associated with unstructured referral pathways and inadequate neonatal screening. Standardizing referrals and implementing structured neonatal screening are crucial.

查看原文本刊更多论文

隐睾和兰花切除术延迟诊断相关因素的评估。

背景：隐睾（UDT）是一种先天性异常。早期的兰花切除术保留了生育能力并降低了恶性肿瘤的风险。然而，诊断和手术延误在沙特阿拉伯仍然很常见。目的：我们的研究旨在确定我们医院UDT的住院比例，以及诊断或怀疑UDT的患者延迟行睾丸切除术的相关因素。这项以医院为基础的研究没有估计人群水平的发病率或患病率。方法：本研究纳入隐睾症儿童（0-14岁）（2018-2023）。SPSS v25对医院数据库数据进行分析，采用描述性统计、卡方检验、t检验和多因素logistic回归（P < 0.05）。结果：多因素分析发现，儿科医生转诊延迟手术的优势比（OR）为2.512 (P = 0.041)，而出生时睾丸正常的优势比（OR）为0.184 （P = 0.005）。结论：在我中心，兰科切除术时机明显延迟，医院基础的UDT比例代表了巨大的临床负担。在我们的中心，延误与非结构化转诊途径和新生儿筛查不足有关。标准化转诊和实施结构化新生儿筛查至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊