Factors determining the age of orchiopexy for the undescended testis in Egyptian male children
Salah Nagla, Mohamed Almaadawy, Waleed Dawood, Mohamed Negm, Khaled Shalaby, Mohamed Hamza, Ayman HagrasAbstract
Background:
We aimed to determine the factors affecting the age of orchidopexy in the undescended testes of Egyptian male children born with cryptorchidism.
Subjects and Methods:
We retrospectively reviewed cases of primary undescended testes in our department between January 2017 and June 2022. We recorded all their data, including their areas of descent. We reviewed our multicenter data from the urology, pediatric surgery, and pediatric departments in Egypt. All patients under 18 years of age diagnosed with primary undescended testes who had orchiopexy at any age were included.
Results:
In total, 350 boys underwent cryptorchidism. The median age at orchiopexy, discovery, and time for orchiopexy after referral were 18.5, 2, and 2 months, respectively. The median age at orchiopexy and discovery was higher in cases of rural versus urban descent (24 [16.25–29] vs. 13 [7.75–18]) and (12 [1–25.75] vs. 1 [1–4]), respectively, with significant differences between the groups. The median age at orchiopexy and discovery was higher in cases not referred by a neonatologist than in cases referred by a neonatologist (24 [18–29.25] vs. 9 [7–14]) and (13 [2–26] vs. 1 [1–1]), respectively, with significant differences between the groups.
Conclusions:
The delayed age at presentation of cryptorchidism in Egyptian children was higher in rural areas, which reflects a problem in providing health services.
Trial Registration Number:
Ethical committee approval was obtained from the number (36264PR1089/2/25) from the local university ethical committee in 2025.