SCREENING AND FACTOR ANALYSIS OF DELAYED TREATMENT OF UNDESCENDED TESTIS (UDT) IN EARLY CHILDHOOD
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Abstract
Objective: To determine the prevalence of undescended testis (UDT) cases in the integrated health service post of the Wagir health center working area, the level of parental knowledge of UDT disorders, and to find out what factors affect the delay in UDT treatment. Materials and Methods: Physical examination by a urology specialist education doctor and distributing questionnaires to parents of toddlers with UDT disorders which were then analyzed with SPSS software using the chi square method followed by the binary logistic regression method. Result : Factors that were found to significantly affect the delay in UDT treatment included antenatal care history (sig. = 0.023) and parental knowledge about UDT (sig.=0.044). Factors found to be less significant in influencing the delay in UDT treatment included affordability of health facilities, insurance ownership, parents' monthly income, latest education, and family history. Conclusion: The prevalence of this with the majority of the population having poor knowledge about UDT. The factors that most influence the delay in treatment are antenatal care history and parental knowledge about UDT Keywords: Undescended Testis (UDT), Delayed Treatment, Parental Knowledge, Delayed Factors Objective: This study aims to determine the prevalence of undescended testis (UDT) cases in the integrated health service post of the Wagir health center working area, the level of parental knowledge of UDT disorders, and to find out what factors affect the delay in UDT treatment. Material & Methods: Physical examination by a urology specialist education doctor and distributing questionnaires to parents of toddlers with UDT disorders which were then analyzed with SPSS software using the chi square method followed by the binary logistic regression method. Results: Factors that were found to significantly affect the delay in UDT treatment included antenatal care history (sig. = 0.023) and parental knowledge about UDT (sig.=0.044). Factors found to be less significant in influencing the delay in UDT treatment included affordability of health facilities, insurance ownership, parents' monthly income, latest education, and family history. Conclusion: The prevalence of this with the majority of the population having poor knowledge about UDT. The factors that most influence the delay in treatment are antenatal care history and parental knowledge about UDT. Keywords: Undescended Testis (UDT), parental knowledge, physical examination
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Undescended Testis (UDT), parental knowledge, physical examination.
Sigumonrong Y, Santosa A, Rodjani A, Gede T, Kusuma W, Daryanto Besut, et al. Panduan Penatalaksanaan (Guidelines) Urologi Anak (Pediatric Urology) di Indonesia. 2nd ed. Rahman F, Toreh C, Sipatuhar S, Hidianingsih S, Andika R, Duha DA, et al., editors. Ikatan Ahli Urologi Indonesia; 2016.
Kurz D, Tasian G. Current Management of Undescended Testes. Curr Treat Options Pediatr. 2016 Mar; 2(1): 43–51.
Janardhana A, Daryanto B, Gumilar OB. Analysis of Factor Influencing Delayed Referral of Undescended Testis. Macedonian Journal of Medical Sciences. 2023 Jan 2; 11(E): 76–9.
Zhao TX, Liu B, Wei YX, Wei Y, Tang XL, Shen LJ, et al. Clinical and socioeconomic factors associated with delayed orchidopexy in cryptorchid boys in China: A retrospective study of 2423 cases. Asian J Androl. 2019 May 1; 21(3): 304–8.
Bašković M, Zaninović L, Sansović I, Meašić AM, Katušić Bojanac A, Ježek D. Trends in the treatment of undescended testes: a pediatric tertiary care center experience from Croatia. World Journal of Pediatric Surgery. 2022 Oct 31; 5(4): e000461.
Schneuer FJ, Holland AJA, Pereira G, Jamieson S, Bower C, Nassar N. Age at surgery and outcomes of an undescended testis. Pediatrics. 2016 Feb 1; 137(2): e20152768.
Pirade A, Setiadi T, Pariputra Y. A Case Report: Bilateral Undescended Testis with Unilateral Testicular Torsion. Kieraha Medical Journal. 2022; 4(2).
Maritska Z, Prananjaya BA, Parisa N, Quardetta RY. Profil Hormon Penderita Disorder of Sex Development (DSD) di RSUP. Dr. Mohammad Hoesin Palembang. Biomedical Journal of Indonesia: Jurnal Biomedik Fakultas Kedokteran Universitas Sriwijaya. 2019 May 31; 5(2): 94–9.
Abaci A, Çatli G, Anik A, Böber E. Epidemiology, classification and management of undescended testes: Does medication have value in its treatment? Vol. 5, Journal of Clinical Research in Pediatric Endocrinology. 2013. p. 65–72.
Smith SC, Nguyen HT. Barriers to implementation of guidelines for the diagnosis and management of undescended testis. F1000Research. 2019; 8: F1000.
Widayanti AW, Green JA, Heydon S, Norris P. Health-seeking behavior of people in Indonesia: A narrative review. Vol. 10, Journal of Epidemiology and Global Health. Atlantis Press International; 2020. p. 6–15.
Madni M, Alzimam M, Alfayez A, Alnabri M, Alharbi S, Alanazi K, et al. Factors responsible for late presentation of undescended testis among hail community and estimation of public awareness about cryptorchidism, Saudi Arabia. International Journal of Medicine in Developing Countries. 2021; 5(3): 870–5.
Jiang DD, Acevedo AM, Bayne A, Austin JC, Seideman CA. Factors associated with delay in undescended testis referral. J Pediatr Urol. 2019 Aug 1; 15(4): 380.e1-380.e6.
Shiryazdi SM, Modir A, Benrazavi S, Moosavi N, Kermani-Alghoraishi M, Ghahramani R. Causes of delay in proper treatment of patients with undescended testis. Iranian Journal of Reproductive Medicine. 2011; 9(1): 37-40.
Ratnapradipa KL, Jadhav S, Kabayundo J, Wang H, Smith LC. Factors associated with delaying medical care: cross-sectional study of Nebraska adults. BMC Health Serv Res. 2023 Dec 1; 23(1): 118.
Bayne AP, Alonzo DG, Hsieh MH, Roth DR. Impact of anatomical and socioeconomic factors on timing of urological consultation for boys with cryptorchidism. Journal of Urology. 2011; 186(4 SUPPL.): 1601–5.
Menteri Negara Perumah Rakyat. Peraturan Menteri Negara Perumahan Rakyat Republik Indonesia tentang Petunjuk tEKNIS Kawasan Siap Bangun dan Lingkungan Siap Bangun yang Berdiri Sendiri. 2006.
Türk E, Karaca F, Edirne Y, Bilen CM. Reasons for delay in undescended testis: The results of two pediatric surgery centers. Turk Pediatri Ars. 2013; 48(1): 44–7.
Kementerian Kesehatan Republik Indonesia. Pedoman Pelayanan Antenatal Terpadu (edisi ketiga). 2020.
Afodun AM, Quadri KK, Eze DE, Edgar MF, Adeoye AO, Kolawole BP. Prenatal [Ultrasound] Diagnosis of Cryptorchid Testicles. Open Journal of Urology. 2018; 08(12): 344–50.