Pd49-08 Contralateral Orchiopexy During Pediatric Testicular Torsion Management: What Are the National Practice Patterns?

You have accessJournal of UrologyPediatrics V (PD49)1 May 2024PD49-08 CONTRALATERAL ORCHIOPEXY DURING PEDIATRIC TESTICULAR TORSION MANAGEMENT: WHAT ARE THE NATIONAL PRACTICE PATTERNS? Allison Grant, Justin Lee, Christopher B. Anderson, Belinda Li, Soo Jeong Kim, Joseph Marte, Mariel Pressler, and Christina P. Carpenter Allison GrantAllison Grant , Justin LeeJustin Lee , Christopher B. AndersonChristopher B. Anderson , Belinda LiBelinda Li , Soo Jeong KimSoo Jeong Kim , Joseph MarteJoseph Marte , Mariel PresslerMariel Pressler , and Christina P. CarpenterChristina P. Carpenter View All Author Informationhttps://doi.org/10.1097/01.JU.0001008752.72292.d7.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Evidence-based guidelines and practice patterns for contralateral orchiopexy during testicular torsion surgery are lacking. We aim to evaluate of the prevalence of contralateral orchiopexy at time of testicular torsion reduction or orchiectomy. METHODS: Utilizing Kids Inpatient Database we performed a retrospective cohort study of children <18 years old who had surgery for testicular torsion from 2016-2019. Patients were identified using the International Classification of Diseases 10th Revision (ICD10) testicular torsion diagnosis code. ICD10 Procedure Codes were used to identify patients who had reduction of testicular torsion or orchiectomy. Primary outcome was the rate of contralateral orchiopexy in patients undergoing ipsilateral orchiopexy or orchiectomy. Multivariable logistic regression was used to evaluate patient and hospital factors associated with contralateral orchiopexy at time of surgery for testicular torsion. RESULTS: We identified 1,544 children with testicular torsion who had surgical intervention. Of the 531 patients who underwent reduction of torsion, 170 (32%) did not have concurrent contralateral orchiopexy. Of 528 patients who underwent an orchiectomy, 186 patients (35%) did not have concurrent contralateral orchiopexy. Overall, 1,188 children underwent bilateral or contralateral orchiopexy. Multivariable logistic regression analysis (Table 1) showed that increased patient age was associated with decreased likelihood of having a contralateral orchiopexy (OR=0.96, 95% CI 0.94-0.98, p<0.01). Additionally, patients having surgery at hospitals in the database designated West region (OR=0.50, 95% CI 0.34-0.73, p<0.01) were less likely to have a contralateral orchiopexy. Lastly, patients having surgery at private non-profit (OR=0.60, 95% CI 0.39-0.92, p<0.02) and private investor-owned hospitals (OR=0.58, 95% CI 0.35-0.95, p<0.03), were less likely to have a contralateral orchiopexy. CONCLUSIONS: We observed that roughly a quarter of children having ipsilateral orchiopexy or orchiectomy for testicular torsion do not undergo a contralateral orchiopexy. Increasing patient age, surgery in Western hospital region, and private hospital status were all associated with a decreased likelihood of contralateral orchiopexy. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1052 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Allison Grant More articles by this author Justin Lee More articles by this author Christopher B. Anderson More articles by this author Belinda Li More articles by this author Soo Jeong Kim More articles by this author Joseph Marte More articles by this author Mariel Pressler More articles by this author Christina P. Carpenter More articles by this author Expand All Advertisement PDF downloadLoading ...