VREME IZVOĐENJA ORHIDOPEKSIJE – ISKUSTVO REFERENTNOG CENTRA U SRBIJI
Ključne reči:
kriptorhizam, dete, vreme operacije, orhidopeksija, tumor testisaApstrakt
Uvod: Nespušten testis ili kriptorhizam je jedna od najčešćih kongenitalnih malformacija genitalija kod muške dece koju karakterišu jedan ili oba testis koji nisu spušteni u mošnice. Zlatni standard u lečenju je orhidopeksija. U cilju smanjivanja rizika od neplodnosti I tumora testis Evropski vodič preporučuje da se operacija izvede u uzrastu od šest do 12 meseci, dok vodič Američke urološke asocijacije preporučuje operaciju u uzrastu između 6 i 18 meseci.
Cilj rada: Cilj studije je da se evaluira da li je kod pacijenata upućenih u našu ustanovu orhidopeksija urađena u preporučenom uzrastu.
Metode rada: Retrospektivno su analizirani podaci pacijenata sa kriptorhizmom lečenih u našoj ustanovi u period od 2016.do 2018.godine. Uzrast u kome je urađena orhidopeksija klasifikovan je: pre 18 meseci I posle 18 meseci života.
Rezultati: Za vreme ispitivanog perioda analizirani su podaci 322 dečaka lečena u našem centru.Svi pacijenti su operisani, orhidopeksija je urađena kod 300 pacijenata (93,2%), orhiektomija kod pet pacijenata (1,6%), laparoskopska eksploracija abdominalne duplje kod 13 pacijenata (4%) I resekcija rudimenta testis kod 4 pacijenta (1,2%). Medijana uzrasta u kome je urađena operacija iznosila je 4 godine (raspon0,9–18). Operacija je urađena u optimalnom uzrastu do18 meseci kod samo 68 pacijenata (21,1%).
Zaključak: Većina pacijenata je operisana u uzrastu izvan optimalnog zbogkasnog upućivanja u našu ustanovu. Nacionalni program za edukaciju pedijatara I roditelja je nepophodan u cilju adekvatnog lečenja u preporučenom uzrastu.
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