title: The Undescended Testicles of West Virginia: A Single Center Experience.
abstract: OBJECTIVE
  To determine the age of pediatric patients who underwent surgical intervention for undescended testicles (UDT) at our institution.
  
  
  METHODS
  We retrospectively reviewed all pediatric patients who underwent orchiopexy and/or diagnostic laparoscopy for undescended or non-palpable testicles with our pediatric urologist from January 2013-March 2014. Patients were separated into those undergoing surgical intervention at 6-12 months, 13-24 months, 25-48 months, and >48 months of age.
  
  
  RESULTS
  70 patients underwent surgical intervention. Only 15 patients (21.4%) underwent surgical intervention within the recommended time period of 6-12 months. Orchiopexy was performed on 21 patients (30.0%) from 13-24 months, 12 patients (17.1%) from 25-48 months, and 22 patients (31.5%) after 48 months of age.
  
  
  CONCLUSIONS
  Current American Urologic Association (AUA) recommendations advocate orchiopexy between 6-12 months of age. Improved parent and primary care education and access to pediatric urological evaluation of UDT will hopefully improve the timeliness of intervention within our state.
authors.forename: John Michael
authors.initials: JM
authors.lastname: Dibianco
authors.forename: Dana
authors.initials: D
authors.lastname: Point
authors.forename: Chad
authors.initials: C
authors.lastname: Morley
authors.forename: Stanley
authors.initials: S
authors.lastname: Zaslau
authors.forename: Osama
authors.initials: O
authors.lastname: Al-Omar
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003456:Cryptorchidism / Q000601:surgery*; D019983:Guideline Adherence; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D008297:Male; D056126:Orchiopexy; D010290:Parents; D017410:Practice Guidelines as Topic; D011320:Primary Health Care; D012189:Retrospective Studies; D013997:Time Factors; D014572:Urology; D014903:West Virginia