| Title |
Testicular atrophy following inguinal hernia repair in children
|
|---|---|
| Published in |
Pediatric Surgery International, March 2018
|
| DOI | 10.1007/s00383-018-4255-z |
| Pubmed ID | |
| Authors |
Kristin A. Sonderman, Lindsey L. Wolf, Lindsey B. Armstrong, Kathryn Taylor, Wei Jiang, Brent R. Weil, Tracey P. Koehlmoos, Robert L. Ricca, Christopher B. Weldon, Adil H. Haider, Samuel E. Rice-Townsend |
| Abstract |
We sought to determine the incidence and timing of testicular atrophy following inguinal hernia repair in children. We used the TRICARE database, which tracks care delivered to active and retired members of the US Armed Forces and their dependents, including > 3 million children. We abstracted data on male children < 12 years who underwent inguinal hernia repair (2005-2014). We excluded patients with history of testicular atrophy, malignancy or prior related operation. Our primary outcome was the incidence of the diagnosis of testicular atrophy. Among children with atrophy, we calculated median time to diagnosis, stratified by age/undescended testis. 8897 children met inclusion criteria. Median age at hernia repair was 2 years (IQR 1-5). Median follow-up was 3.57 years (IQR 1.69-6.19). Overall incidence of testicular atrophy was 5.1/10,000 person-years, with the highest incidence in those with an undescended testis (13.9/10,000 person-years). All cases occurred in children [Formula: see text] 5 years, with 72% in children < 2 years. Median time to atrophy was 2.4 years (IQR 0.64-3), with 30% occurring within 1 year and 75% within 3 years. Testicular atrophy is a rare complication following inguinal hernia repair, with children < 2 years and those with an undescended testis at highest risk. While 30% of cases were diagnosed within a year after repair, atrophy may be diagnosed substantially later. Prognosis Study, Level II. |
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 35 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 5 | 14% |
| Other | 4 | 11% |
| Student > Bachelor | 4 | 11% |
| Student > Postgraduate | 3 | 9% |
| Student > Ph. D. Student | 3 | 9% |
| Other | 4 | 11% |
| Unknown | 12 | 34% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 21 | 60% |
| Veterinary Science and Veterinary Medicine | 1 | 3% |
| Business, Management and Accounting | 1 | 3% |
| Biochemistry, Genetics and Molecular Biology | 1 | 3% |
| Unknown | 11 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 30 March 2018.
All research outputs
#15,498,204
of 23,031,582 outputs
Outputs from Pediatric Surgery International
#582
of 1,267 outputs
Outputs of similar age
#210,485
of 329,889 outputs
Outputs of similar age from Pediatric Surgery International
#10
of 22 outputs
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