ORCHESTRA study seeks participants
ORCHESTRA stands for ORCHidopexy: does Earlier Surgery affect TesticulaR Atrophy?
This is the 2014 project that will be led and co-ordinated by
the Paediatric Surgery Trainees Research Network .
The project has the support of both the British Association of
Paediatric Urology (BAPU) and the British Association of Paediatric
Surgeons (BAPS). This will be a prospective multicentre audit much
like the recent national appendicectomy audit and will look at
current practice of orchidopexy and in particular timing of
referral and surgery of boys with undescended testes.
The study will investigate whether age at orchidopexy is related
to atrophy rate. This will be important data following the recent
BAPU guidance to perform orchidopexy as young as 3 months of age
and may pave the way for a further study such as a RCT.
Initial data collection will take place during the summer of 2014
with final follow-up in autumn of 2015. This is an ambitious
project particularly as the duration of follow-up is up to 1 year
following orchidopexy. For the study to be a success several
collaborators at each centre are likely to be necessary to ensure
that there is adequate coverage for the duration of the recruitment
and follow-up stages. A small amount of charitable funding for the
study has been provided, which has been used to build an online
data collection system. This will allow easy submission of patient
anonymised data and is a real improvement to the appendicectomy
audit. Further details of ORCHESTRA are available via links on the
website. ORCHESTRA will shortly be open for registration.
We need both paediatric surgery trainees and general
surgery trainees to get involved as collaborators for this