ORCHESTRA stands for ORCHidopexy: does Earlier Surgery affect TesticulaR Atrophy. It is the 2014 project that will be co-ordinated by the PSTRN and is led by Clare Skerritt (London trainee).
The project has the support of both BAPU and BAPS. This will be a prospective multicentre audit much like the successful national appendicectomy audit and will look at current practice of orchidopexy and in particular timing of referral of boys with undescended testes and timing of surgery. We plan to 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 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.
We have received a small amount of charitable funding for the study which we have 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 in the abstract and full protocol.
ORCHESTRA is now open for registration. We need both paediatric surgery trainees and general surgery trainees to get involved as collaborators for this study. Please click on the link below today and approach your consultant with this letter of invitation. The more trainees involved the better with this one as we need to make sure we have coverage at each centre for the whole duration of the study.
In addition we are also looking for a small number of motivated trainees to join the steering group for this study. This will be an opportunity to get involved in the final preparation of the study as well as study co-ordination and overall management. No previous research experience is necessary although it would be preferred.