Immediate Versus Delayed Surgical Management of Infant Cryptorchidism With Inguinal Hernia

Cryptorchidism is commonly treated with orchiopexy at 6–12 months of age, often allowing time for undescended testicle(s) (UT) to descend spontaneously. However, when an inguinal hernia (IH) is also present, some surgeons perform orchiopexy and inguinal hernia repair (IHR) immediately rather than de...

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Bibliographic Details
Published in:Journal of pediatric surgery 2024-01, Vol.59 (1), p.134-137
Main Authors: Ramsey, Walter A., Huerta, Carlos T., Jones, Alexis K., O'Neil, Christopher F., Saberi, Rebecca A., Gilna, Gareth P., Lyons, Nicole B., Collie, Brianna L., Parreco, Joshua P., Thorson, Chad M., Sola, Juan E., Perez, Eduardo A.
Format: Article
Language:English
Subjects:
Cryptorchidism
Cryptorchidism - complications
Cryptorchidism - surgery
Hernia, Inguinal - complications
Hernia, Inguinal - diagnosis
Hernia, Inguinal - surgery
Herniorrhaphy - methods
Humans
Infant
Infant, Newborn
Infant, Premature
Inguinal hernia
Male
Orchiopexy - methods
Premature
Retrospective Studies
Undescended testis
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Summary:Cryptorchidism is commonly treated with orchiopexy at 6–12 months of age, often allowing time for undescended testicle(s) (UT) to descend spontaneously. However, when an inguinal hernia (IH) is also present, some surgeons perform orchiopexy and inguinal hernia repair (IHR) immediately rather than delaying surgery. We hypothesize that early surgical intervention provides no benefit for newborns with both IH and UT. The Nationwide Readmissions Database was used to identify newborns with diagnoses of both IH and UT from 2010 to 2014. Patients were stratified by management: IHR performed on initial admission (Repair) or not (Deferral). Demographics, outcomes, and complications were compared. Results were weighted for national estimates. We analyzed 1306 newborns (64% premature) diagnosed with both IH and UT. IHR was performed at index admission in 30%. Repair was more common in premature babies (43% vs. 8% full-term, p 
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2023.09.021