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Surgical practice in management of cryptorchidism
Dear Doctor
I will be grateful to you if answer this questionnaire, if you have any inquiry please contact me through e-mail (
obawazir@yahoo.com
)
Thanks
Author
Dr. Osama Bawazir
College of medicine, Umm Al-Qura university
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* Indicates required question
Please indicate your specialty
*
pediatric surgeron
pediatric urologist
How many cryptorchidism you manage per year
*
< 25 /year
25-50 /year
50 -100 /year
>100 /year
How many years in practice?
*
< 5 years
5-10 years
> 10 years
What is your preferred age of orchidopexy?
*
3 - 6 months
6- 12 months
> 12 months
Do you routinely order ultrasounds for nonpalpable testes?
*
yes
No
Do you routinely order MRI for nonpalpable testes?
*
Yes
No
Do you use hormonal therapy for cryptorchidism
*
No
always
small unilateral testes
small bilateral testes
intrabdominal testes
What is your preferred initial surgical approach to unilateral nonpalpable testes?
*
Laparoscopic
Inguinal
Other:
What is your preferred initial surgical approach for bilateral nonpalpable testes (46XY, testosterone present, AMH present)?
*
Laparoscopic
Inguinal
Other:
What is your preferred timing for bilateral nonpalpable undescended testes?
*
Synchronous
Metachronous
What is your preferred approach for palpable undescended testes?
*
Inguinal, standard two-incision orchidopexy
Scrotal, single incision orchidopexy
Depends on the position of the testes
. What is your preferred timing for bilateral palpable undescended testes?
*
Synchronous
Metachronous
What is your preferred initial approach for intra-abdominal testes where the testis reaches the contralateral ring?
*
Laparoscopic 1-stage orchidopexy
Laparoscopic 2-stage Fowler–Stephens orchidopexy
Inguinal 1-stage orchidopexy
Staged laparoscopic testicular vessel elongation/Traction, followed by inguinal orchidopexy (Shehata Technique)
What is your preferred initial approach for intra-abdominaltestes where the testis does not reach the contralateral internal ring?
*
Laparoscopic 1-stage orchidopexy
Laparoscopic 2-stage Fowler–Stephens orchidopexy
Inguinal 1-stage orchidopexy
Staged laparoscopic testicular vessel elongation/Traction, followed by inguinal orchidopexy (Shehata Technique)
What you do for unsatisfactory testicular position after orchidopexy
*
observe
redo inguinal orchidopexy
redo Laproscopic orchidopexy
hormonal therapy
how you manage cryptorchidism in cerebral palsy children with sever disability
*
orchidopexy
orchiectomy
nothing
how you manage cryptorchidism in children with down syndrome
*
orchidopexy
orchiectomy
nothing
What kind of suture you use fix the testes during the orchidopexy
*
Vicryl (rebsorbable)
prolene ( non-absorbable)
Other:
At what age you will do orchiectomy rather than orchidopexy for the Undescending testes
*
10 years
10-15 years
15-20 years
> 20 years
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