Orchidopexy for undescended testis—rate and predictors of re-ascent
Topic overview
Retrospective study of 662 testes found 6% re-ascent rate after orchidopexy, with lower rates using scrotal versus inguinal approach (3% vs 7%). Atrophy was rare (0.15%), and no independent predictors for re-ascent were identified in multivariate analysis, suggesting selection bias influences surgical approach outcomes.
Key takeaways
- Re-ascent requiring re-operation after orchidopexy occurs in 6% of cases, with testicular atrophy being rare (0.15%).
- Scrotal approach showed lower re-ascent rate (3%) vs inguinal approach (7%), though likely due to patient selection bias.
- Younger age, congenital UDT, and inguinal approach were associated with re-operation, but none remained significant predictors.
- With absolute re-ascent risk being very low, larger studies needed to identify reliable predictors for surgical planning.
Keywords
Hashtags
Full article text
Full article text not available for this entry
How to cite: GlobalCastMD. Orchidopexy for undescended testis—rate and predictors of re-ascent. GlobalCastMD Medical Library. 2024-05-28. https://dev.library.globalcastmd.com/article/8666?via_space=staycurrentmd
Comments