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Clinical and socioeconomic factors associated with delayed orchidopexy in cryptorchid boys in China: a retrospective study of 2423 cases
Tian-Xin Zhao1, Bin Liu2, Yue-Xin Wei3, Yi Wei4, Xiang-Liang Tang5, Lian-Ju Shen6, Chun-Lan Long7, Tao Lin8, Sheng-De Wu9, Guang-Hui Wei10
1 Department of Urology, Children's Hospital of Chongqing Medical University, Chongqing 400014, China
Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing 400014, China
Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing 400014, China
China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing 400014, China
Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China
Correspondence Address:
Sheng-De Wu
Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing 400014, China; Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing 400014, China; Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing 400014, China; China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Chongqing 400014, China; Chongqing Key Laboratory of Pediatrics, Chongqing 400014, China
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/aja.aja_106_18
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We investigated the associations of clinical and socioeconomic factors with delayed orchidopexy for cryptorchidism in China. A retrospective study was conducted on cryptorchid boys who underwent orchidopexy at Children's Hospital at Chongqing Medical University in China from January 2012 to December 2017. Of 2423 patients, 410 (16.9%) received timely repair by 18 months of age, beyond which surgery was considered delayed. Univariate analysis suggested that the laterality of cryptorchidism (P = 0.001), comorbidities including inguinal hernia/scrotal hydrocele (P < 0.001) or urinary tract disease (P = 0.016), and whether patients lived in a poverty county (P < 0.001) could influence whether orchidopexy was timely or delayed. Logistic regression analysis suggested that the following factors were associated with delayed repair: unilateral rather than bilateral cryptorchidism (odds ratio [OR] = 1.752, P < 0.001), absence of inguinal hernia or hydrocele (OR = 2.027, P = 0.019), absence of urinary tract disease (OR = 3.712, P < 0.001), and living in a poverty county (OR = 2.005, P < 0.001). The duration of postoperative hospital stay and hospital costs increased with the patient's age at the time of surgery.
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