RESUMO

OBJECTIVE: To assess regional practices in management of cryptorchidism with regard to timely fixation by the current recommended age of 18 months. STUDY DESIGN: A retrospective study was performed. Charts of all patients who underwent surgical correction for cryptorchidism by a pediatric general surgeon or urologist within a tertiary pediatric hospital in an urban setting were systematically reviewed. RESULTS: We identified 1209 patients with cryptorchidism. The median age of surgical correction was 3.7 years (IQR: 1.4, 7.7); only 27% of patients had surgical correction before 18 months of age. Forty-six percent of our patients were white, 40% were African American, and 8% were Hispanic. African American and Hispanic patients were less likely to undergo timely repair (P?=?.01), as were those with public or no insurance (P?

Assuntos

Criptorquidismo/cirurgia , Tempo para o Tratamento , Pré-Escolar , Criptorquidismo/diagnóstico , Diagnóstico por Imagem/estatística & dados numéricos , Hospitais Pediátricos , Humanos , Masculino , Medicaid , Pessoas sem Cobertura de Seguro de Saúde , Orquiectomia/estatística & dados numéricos , Orquidopexia/estatística & dados numéricos , Complicações Pós-Operatórias , Áreas de Pobreza , Grupos Raciais/estatística & dados numéricos , Encaminhamento e Consulta , Estudos Retrospectivos , Estados Unidos , População Urbana