{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:18:47Z","timestamp":1783948727496,"version":"3.55.0"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Undescended testis (UDT) is a congenital anomaly. Early orchidopexy preserves fertility and reduces the risk of malignancy. However, delays in diagnosis and surgeries remain common in Saudi Arabia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Our study aims to determine the hospital-based proportion of UDT at our facility and factors associated with delayed orchidopexy in patients with a diagnosis or suspicion of UDT. This hospital-based study does not estimate population-level incidence or prevalence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology:<\/jats:title>\n                    <jats:p>\n                      This study included children (0\u201314 years) with cryptorchidism (2018\u20132023). SPSS v25 analyzed data from the hospital\u2019s database, with descriptive statistics, Chi-square tests,\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests, and multivariate logistic regression (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Multivariate analysis identified that referrals from pediatric physicians had an odds ratio (OR) of 2.512 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.041) for delayed surgery, while normal testis at birth reduced the OR 0.184 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.005).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In our center, orchidopexy timing is significantly delayed, and the hospital-based proportion of UDT represents a substantial clinical burden. In our center, delays are associated with unstructured referral pathways and inadequate neonatal screening. Standardizing referrals and implementing structured neonatal screening are crucial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ua.ua_150_25","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:00:28Z","timestamp":1783947628000},"page":"259-265","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Assessment of factors associated with delayed diagnosis of cryptorchidism and orchidopexy"],"prefix":"10.4103","volume":"18","author":[{"given":"Nuwayyir Abdullah","family":"Alqasimi","sequence":"first","affiliation":[{"name":"College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lujain Hatim","family":"Aljohani","sequence":"additional","affiliation":[{"name":"College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naif Mohammed","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal Bader","family":"Almuqbil","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hesham Naser","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moayad Yasser","family":"Alamoudi","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali Abdulaziz","family":"Alyami","sequence":"additional","affiliation":[{"name":"Department of Urology, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmad","family":"Shammari","sequence":"additional","affiliation":[{"name":"Department of Urology, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser","family":"Jamalalail","sequence":"additional","affiliation":[{"name":"Department of Urology, King Abdulaziz Medical City, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fayez Al","family":"Modhen","sequence":"additional","affiliation":[{"name":"Department of Medicine and Surgery, College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tariq","family":"Burki","sequence":"additional","affiliation":[{"name":"Department of Urology, King Abdulaziz Medical City, Ministry of National Guard - 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A 6 year review","volume":"25","author":"Al Darrab","year":"2021","journal-title":"Curr Pediatr Res"},{"key":"R11-20260713","doi-asserted-by":"crossref","first-page":"1343887","DOI":"10.3389\/fendo.2024.1343887","article-title":"The epidemiology of cryptorchidism and potential risk factors, including endocrine disrupting chemicals","volume":"15","author":"Holmboe","year":"2024","journal-title":"Front Endocrinol (Lausanne)"},{"key":"R12-20260713","doi-asserted-by":"crossref","first-page":"695.e1","DOI":"10.1016\/j.jpurol.2022.07.017","article-title":"Factors which delay surgery for undescended testis in Ontario: A retrospective population based cohort study on timing of orchidopexy between 2006 and 2012","volume":"18","author":"Dave","year":"2022","journal-title":"J Pediatr Urol"},{"key":"R13-20260713","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1007\/s00431-022-04769-1","article-title":"Are we still too late? 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