Parental perception of optimal surgical age for correction of cryptorchidism: a multicenter surveillance study

Urology. 2011 Nov;78(5):1162-6. doi: 10.1016/j.urology.2011.04.075. Epub 2011 Sep 8.

Abstract

Objective: To perform a multicenter survey to determine how many parents understood the optimal time for surgical correction of cryptorchidism in children.

Methods: We enrolled 377 parents of patients who had recently undergone surgical correction of cryptorchidism. These parents were divided into 3 groups according to their indicated preference of the optimal patient age for surgical correction: group 1 (<1 year old, 39 parents, 10.3%), group 2 (1-2 years old, 169 parents, 44.8%), and group 3 (>3 years, 169 parents, 44.8%).

Results: The mean age of the children who underwent orchiopexy was 4.9 ± 5.2 years. The interval from diagnosis to surgical correction of cryptorchidism was 17.1 ± 29.8, 15.4 ± 14.4, and 29.0 ± 24.4 months in groups 1, 2, and 3, respectively (P < .001). The mean age of the parents was significantly associated with the perception of the optimal time for surgical correction of cryptorchidism (P = .021 and P = .002). The number of highly educated parents was lowest in group 3 (P < .001). The number of parents with >2 children was 69.2% in group 1, 71.0% in group 2, and 84.0% in group 3 (P = .009). In group 3, the parents often delayed surgery because of the patient being too young (49.1%) and the parents' expectations of spontaneous descent (48.5%).

Conclusion: Parents younger in age, with higher education levels and with fewer children, preferred early orchiopexy. Active intervention by a physician and public education for parents might be necessary to encourage earlier treatment of cryptorchidism.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Age Factors
  • Attitude to Health*
  • Child
  • Child, Preschool
  • Cryptorchidism* / surgery
  • Humans
  • Infant
  • Male
  • Parents*