Observational studyBMC pediatrics2015
Operative management of cryptorchidism: guidelines and reality--a 10-year observational analysis of 3587 cases.
Observational study in BMC pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.
- Timing of orchidopexy and effect on surrogate outcomes for fertility: a systematic review and meta-analysis.Pediatric surgery international · 2025Pooled it
- A 10-Year Retrospective Single-Center Study: Are Children With Cryptorchidism Operated On at the Recommended Age?Cureus · 2026Article
- The timing of cryptorchidism surgery: analysis of the contradiction between guideline consensus and clinical practice implementation.Pediatric surgery international · 2025Review
- Mini-Puberty, Physiological and Disordered: Consequences, and Potential for Therapeutic Replacement.Endocrine reviews · 2024Review
- Surgical treatment of cryptorchidism: current insights and future directions.Frontiers in endocrinology · 2024Review
- Article
- Orchidopexy for Ascending Testicles in Adulthood After Remote Hernia Repair: A Report of Two Cases.Cureus · 2023Article
- Are we still too late? Timing of orchidopexy.European journal of pediatrics · 2023Article
- The fat anchor orchiopexy technique: results and outcomes from 150 cases surgical experience.Pediatric surgery international · 2022Article
- Transscrotal transverse incision for the treatment of middle and low cryptorchidism in children: experience from 796 cases.BMC surgery · 2020Article
- The Diagnosis and Treatment of Impalpable Testes at King Salman Armed Forces Hospital, Tabuk, Saudi Arabia.Cureus · 2020Article
- Epidemiology, Diagnosis and Therapeutic Approaches of Cryptorchidism at the Panzi General Hospital, DR Congo: A 5-year Retrospective Study.Ethiopian journal of health sciences · 2020Observational
- Variability among Canadian pediatric surgeons and pediatric urologists in the management of cryptorchidism in boys before the publication of major guidelines: a retrospective review of a single tertiary centreCanadian journal of surgery. Journal canadien de chirurgie · 2019Article
- Scrotal Ultrasound Is Not Routinely Indicated in the Management of Cryptorchidism, Retractile Testes, and Hydrocele in Children.Global pediatric health · 2019Article
- Disorders of sex development: timing of diagnosis and management in a single large tertiary center.Endocrine connections · 2018Article
- Molecular Mechanisms of Syndromic Cryptorchidism: Data Synthesis of 50 Studies and Visualization of Gene-Disease Network.Frontiers in endocrinology · 2018Article
- Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUndescended testis (UDT) is the most common disorder in pediatric surgery and one of the most important risk factors for malignancy and subfertility. In 2009 local guidelines were modified and now recommend treatment to be completed by the age of 1. Aim of this study was to analyze age distribution at the time of orchidopexy, whether the procedure is performed according to guideline recommendations and to assess primary care pediatricians' attitude regarding their treatment approach.
methodsWe retrospectively analyzed 3587 patients with UDT regarding age at orchidopexy between 2003 and 2012 in 13 German hospitals. Furthermore, we conducted an anonymized nation-wide survey among primary care pediatricians regarding their attitude toward management of UDT.
resultsBefore modification of the guideline 78% (n = 1245) of the boys with UDT were not operated according to guideline recommendations. After the modification that number rose to 95% (n = 1472). 42% of the orchidopexies were performed on patients aged 4 to 17 years. 46% of the primary care pediatricians were not aware of this discrepancy and 38% would only initiate operative management after the first year of life. In hospitals with pediatric surgery departments significantly more patients received orchidopexy in their first year of life (p < .001).
conclusionThe guideline for UDT in Germany has not yet been implemented sufficiently. Timing of orchidopexy must be optimized in order to improve long-term prognosis. Both primary care providers and parents should be educated regarding the advantages of early orchidopexy in UDT. Prospective studies are needed to elucidate the high rate of late orchidopexies.
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