A Canadian national survey: understanding the differences in management of cryptorchidism among pediatric surgeons and pediatric urologists
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In brief
In brief
National survey of Canadian pediatric urologists and surgeons reveals significant practice variation in cryptorchidism management. Pediatric surgeons more frequently order preoperative ultrasound and favor classic inguinal orchiopexy, while urologists demonstrate flexible surgical approaches based on testis position.
Written by the GCMD Library team from the article.
Background
This investigation aims to assess the variability in practice patterns regarding management of children with cryptorchidism (UDT) among pediatric urologists (U) and pediatric surgeons (S) practicing in Canada.
Methods
All active members of Pediatric Urologists of Canada (PUC) and Canadian Association of Pediatric Surgery (CAPS) were invited to participate in an online multiple-choice type questionnaire with clinical scenarios in management of UDT. Responses were compared between U and S using Fisher's exact test.
Results
The response rates were 74% and 79% among CAPS members (54/73) and PUC members (27/34) respectively. CAPS members were more likely to order diagnostic ultrasounds prior to surgery (44.4% vs 18.5%, p = 0.027). For palpable testis, most (80%) CAPS members favored the classic inguinal approach, while most PUC members did not demonstrate a clear preference, and were flexible with their approach depending on the position of the palpated testes (55%; p