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Scholars Academic Journal of Biosciences | Volume-13 | Issue-10
Analysis of Pediatricians’ Knowledge Regarding the Clinical Diagnosis of Testicular Position Abnormalities: A Cross-Sectional Study
Ivonete Siviero, Betina Carla Bertrand Simões MD, Jordana Santos Antunes de Oliveira , Carolina de Carvalho Fortes
Published: Oct. 10, 2025 |
39
31
Pages: 1416-1421
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Abstract
Background: This study assessed pediatricians' and trainees' knowledge and practices regarding undescended testes at a pediatric hospital, highlighting gaps in diagnosis, referral, and management that may impact treatment outcomes. Methods: A cross-sectional observational study was conducted using an anonymous questionnaire with objective questions. Of 164 distributed questionnaires, 99 were returned (response rate: 60.36%). Responses were analyzed by relative frequency and statistical significance (p < 0.05). Results: Ninety percent of pediatricians perform testicular examinations immediately after birth, and 77% include scrotal examinations in all pediatric consultations. For initial management of undescended testes, 66% request ultrasonography first, while only 12% refer directly to a specialist. Regarding surgical indications, only 44% recommend treatment between 6 and 12 months of age. Despite this, 67% report no difficulties in referring patients. There is notable inconsistency in characterizing testicular dystopias, with only 30% correctly identifying cryptorchidism. Although 60% recognize that there is no surgical indication for retractile testicles, only 55% are aware that they can develop into ascending testicles. Conclusions: While pediatricians are familiar with the optimal timing for surgical correction, they show difficulty identifying testicular dystopias and selecting appropriate management strategies. Further education and training are needed to align clinical practice with current recommendations.