Treatment of cryptorchidism in pediatric surgical practice: a multicenter study

Introduction . Cryptorchidism is a common disease in pediatric urological and andrological practice since the issues of tactical approaches and its optimal treatment remain extremely relevant. Cryptorchidism makes a significant contribution to the structure of male infertility. Objective . To conduc...

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Bibliographic Details
Published in:	Vestnik urologii (Online) Vol. 11; no. 1; pp. 13 - 25
Main Authors:	Axelrov, M. A., Minaev, S. V., Razin, M. P., Yusupov, Sh. A., Tsap, N. A., Tarakanov, V. A., Shamsiev, J. A., Karpova, I. Yu, Smolentsev, M. M., Sergienko, T. V., Baturov, M. A., Daniyarov, E. S., Strizhenok, D. S., Grigoruk, E. H., Mikhalev, O. Yu, Komarova, S. Yu, Bykov, N. I., Barova, N. K., Trushin, P. V., Gramzin, A. V., Aslanov, D. A., Grigorova, A. N.
Format:	Journal Article
Language:	English Russian
Published:	State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 02-04-2023
Subjects:	children cryptorchidism multicenter study results surgical treatment
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Summary:	Introduction . Cryptorchidism is a common disease in pediatric urological and andrological practice since the issues of tactical approaches and its optimal treatment remain extremely relevant. Cryptorchidism makes a significant contribution to the structure of male infertility. Objective . To conduct a retrospective analysis of treatment results in children and adolescents with cryptorchidism. Materials & methods . This study summarises the treatment results of 8308 patients with cryptorchidism aged from 6 months to 17 years who underwent inpatient treatment in the Russian Federation and the Republic of Uzbekistan. Results . It was revealed that from 2015 to 2019, patients were admitted for surgical treatment evenly over the years. The ratio of right-sided / left-sided / bilateral cryptorchidism was 4.6 : 4.4 : 1 The inguinal form prevailed more than 6 times over the abdominal location. At the same time, 26.1% of the patients underwent surgery at the optimal time, and 9.8% were older than 10 years. More often, children are operated from an open inguinal access (95.0%), much less often — laparoscopically and percutaneously. Stage-by-stage treatment was carried out in 6.0% of patients. Conclusion . Thus, the approach presented in the study in the surgical treatment of cryptorchidism provided good treatment results. The number of disease relapses was 1.9% (mainly among children over 7 years old). Most surgeons are very reserved about primary orchidectomies (only 3.8% were performed).
ISSN:	2308-6424 2308-6424
DOI:	10.21886/2308-6424-2023-11-1-13-25