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Reasons for delayed orchiopexies in a Korean tertiary care hospital
DC Field | Value | Language |
---|---|---|
dc.contributor.advisor | 박관진 | - |
dc.contributor.author | 안현수 | - |
dc.date.accessioned | 2017-07-19T10:12:33Z | - |
dc.date.available | 2017-07-19T10:12:33Z | - |
dc.date.issued | 2014-02 | - |
dc.identifier.other | 000000017543 | - |
dc.identifier.uri | https://hdl.handle.net/10371/132414 | - |
dc.description | 학위논문 (석사)-- 서울대학교 대학원 : 임상의과학과, 2014. 2. 박관진. | - |
dc.description.abstract | Introduction: Since the 1990s, it has been well known orchiopexies should be performed no later than 2 years of age. Nevertheless, studies from other countries report a substantial number of delayed orchiopexies. Based on the analysis of a tertiary care hospital database, we aimed to investigate the incidence of delayed orchiopexies performed in patients after 5 years of age, and to understand the causes of such delays and the possible consequences.
Methods: We retrospectively analyzed the surgical database of our institution between 2004 and 2012, and detected patients who underwent orchiopexy later than 5 years of age. Reasons for delayed orchiopexies were studied and the possible consequences of delayed orchiopexies were assessed with respect to surgical difficulty and testicular volume. Results: We found 160 cases of delayed orchiopexies, which accounted for about 15% of all orchiopexies performed. Two major reasons for delay were related to the parents of the child | - |
dc.description.abstract | i.e. parental delay and parental request for the treatment of persistent retractile testis. Acquired cryptorchidism was found in 21 (13.1%) cases, mainly associated with hypospadias. Surgical difficulty, especially due to short testicular cord, was encountered in 48 cases (30.2%), and a comparison with age matched normative values showed substantially smaller testicular volume.
Conclusions: Despite well established guidelines for optimal age of surgery, 15% of orchiopexies were not performed at a proper time. Improved propagation of an optimal age limit is necessary for reducing the rate of delayed orchiopexies considering increases in surgical difficulty and potential testicular growth retardation. | - |
dc.description.tableofcontents | Contents:
INTRODUCTION: pages 1-3 MATERIALS AND METHODS: pages 4-5 RESULTS: pages 6-9 DISCUSSION: pages 10-14 CONCLUSIONS: page15 REFERENCE: pages 16-18 List of tables: Table 1: page 7 Table 2: page 7 Table 3: page 8 List of figures Figure 1: page 6 Figure 2: page 8 | - |
dc.format | application/pdf | - |
dc.format.extent | 353949 bytes | - |
dc.format.medium | application/pdf | - |
dc.language.iso | en | - |
dc.publisher | 서울대학교 대학원 | - |
dc.subject | Cryptorchidism | - |
dc.subject | Orchiopexy | - |
dc.subject | Tertiary Care Centers | - |
dc.subject.ddc | 610 | - |
dc.title | Reasons for delayed orchiopexies in a Korean tertiary care hospital | - |
dc.type | Thesis | - |
dc.description.degree | Master | - |
dc.citation.pages | iii, 21 | - |
dc.contributor.affiliation | 의과대학 임상의과학과 | - |
dc.date.awarded | 2014-02 | - |
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