Abstract
Background and Objectives: Cryptorchidism is one of the most common congenital malformations in males that carry various complications. Early diagnosis can help to prevent future complication The aim of present study was to accurately assess the prevalence of cryptorchidism and the role of mid-wive's and general Practitioner's in early detection and referral of boys with undescended testis for surgery.
Materials and Methods: 6237(69.1%) of 9019 male live births, were examined for cryptorchidism at primary health services. In a subgroup of cases, the persistence of cryptorchidism was re-assessed during a follow-up examination first by a general practitioner and then was referred to a surgeon if undescended testes were suspected.
Results: In the re-examined subgroup 35% of the boys had cryptorchidism.
Prevalence of undescended testis was 1.35% in open population.
Conclusion: In order to establish reliable information on the detection of cryptorchidism, all male births in the open population must be examined systematically.
This study showed that measurable improvements in early detection of cryptorchidism can be achieved through a combination of education of primary care, GPs and expert specialists' team and agreed local standards for referral.