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RACS ASC 2024

The racial disparity of orchidopexy for undescended testes: A five-year review in a tertiary hospital

Verbal Presentation

Verbal Presentation

4:10 pm

09 May 2024

Dobson 3

RESEARCH PAPERS

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Institution: Te Whatu Ora Waikato - Waikato, Aotearoa New Zealand

Purpose: The international guidelines recommend orchidopexy for undescended testes (UDT) no later than 18 months of age. We aim to analyse UTD care at Waikato Hospital with a focus on demographic factors. Methodology: A retrospective review of prospectively collected data of patients undergoing orchidopexy for UDT from 2018-2023 was conducted. Baseline demography, the age and date at first referral, first outpatient review and surgery were recorded. The time between referral and clinic visit (T1), clinic and surgery (T2) were calculated with comparisons between ethnicities and NZ deprivation index. Median and interquartile range are presented for easy comparison with previous studies. Mann-Whitney test was used for statistical analysis. A p value ≤0.05 was considered significant. The Clinical Audit Support Unit approval number was 4438P. Results: A total of 232 children underwent orchidopexy, 50% of which were Māori (23.9% in Waikato population). The median age at referral was 6.7 months (1.8-18.7) and surgery 17.9 months (13.2-30.2). The median T1 was 2.5 months (1.5-4.0) and T2, 6.2 months (3.3-10.2). At all time points Māori had an increased median compared to non-Māori although not statistically significant (p=0.68 for T1, p=0.91 for T2). The median age at surgery was 19.1 months (13.8-35.0) for Māori compared to 16.9 (12.6-25.6) for non-Māori (p=0.05). Age at surgery between deprivation categories was not statistically significant (p=0.25). Conclusion: Māori have a high incidence of UDT comparatively. The median age of orchidopexy is within guidelines, but Māori receive surgery past the recommended timeframes calling for urgent action for improvement.

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Dr Brooke Marsters - , Dr Udaya Samarakkody -