Analysis of surgical care for boys aged 0–17 years with disorders of the reproductive system in Russia

BACKGROUND: Preservation of population reproductive health is one of the most pressing issues in healthcare and public policy.

AIM: To assess the incidence of conditions associated with impaired reproductive health in boys aged 0–17 years in the Russian Federation; to characterize surgical interventions on the reproductive organs in boys aged 0–17 years, including the use of high-technology treatment methods. To analyze the staffing resources ensuring the provision of surgical care to children with reproductive system disorders.

METHODS: The study was based on data on morbidity and staffing capacity obtained from federal statistical reporting forms (Form Nos. 12 and 30) covering all regions of Russia, as well as data from chief external pediatric surgical specialists covering 68 regions. These 68 regions account for approximately 80% of the pediatric population of the Russian Federation. Descriptive statistics and correlation analysis were used in present study.

RESULTS: The results revealed substantial interregional differences in disease prevalence and in the number of surgical interventions across constituent entities of the Russian Federation. These differences were associated, among other factors, with the level of availability of pediatric surgeons and pediatric urologists-andrologists. The findings highlight the need for a comprehensive multidisciplinary approach that includes prevention, early diagnosis of condition, development of specialized care systems, and continuous monitoring of reproductive health in children and adolescents, as well as continuity of care into adolescence and adulthood.

CONCLUSION: Timely and accurate diagnosis and surgical treatment of reproductive system disorders in boys are crucial for preserving reproductive health and for preventing complications and infertility.