Comparative Analysis of Ultrasonography and Laparoscopy in the Diagnosis of Abdominal Cryptorchidism

A. A. Pereiaslov, Yu. R. Dotsenko

Abstract


Accurate preoperative diagnosis of non-palpable testis is of great importance for the election of optimal surgical strategy when treating a child with abdominal cryptorchidism.

The objective of the research was to compare the diagnostic values of ultrasonography (USG) and laparoscopy in children with abdominal cryptorchidism. USG was performed in 32 children using diagnostic ultrasound machines Philips HD II XE (the Netherlands) and Voluson 730 Pro (General Electric, Austria) with 7.5-12 MHz linear transducers. Laparoscopy was performed in 44 patients with suspected abdominal cryptorchidism. When performing USG only in 5 (15.6%) children with abdominal cryptorchidism localization of the testis was identified preoperatively. Laparoscopy was effective in 42 (95.5%) patients and only in 2 (4.5%) children the testis or the spermatic cord structures were not identified.

The results of our study showed the advantage of laparoscopy over ultrasonography in topical diagnosis of preoperative localization of the testis in children with abdominal cryptorchidism.


Keywords


abdominal cryptorchidism; ultrasonography; laparoscopy

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References


Kovarskiy SL, Tyulpanov AN, Petrushin AV, et al. Doppler ultrasound in the assessment of gonadal state in children with cryptorchidism. Detskaya khirurgiya. 2008;3:32-35.

Tolstanov OK, Danylov OA, Rusak PS, et al. Peculiarities of treating abdominal cryptorchidism. Khirurhiia dytiachoho viku. 2012;3:34-37.

Alzahem A. Laparoscopy-assisted orchiopexy versus laparoscopic two-stage fowler stephensorchiopexy for nonpalpable testes: comparative study. Urol. Ann.-2013;5:110-114.

Ashley RA, Barthold JS, Kolon TF. Cryptorchidism: pathogenesis, diagnosis, treatment and prognosis. Urol. Clin. North Am. 2010;37:183-193.

Adesanya OA, Ademuyiwa AO, Bode CO, Adeyomoye AAO. Diagnostic value of high resolution ultrasound in localization of the undescended testis in children. Afr. J. Pediatr. Surg. 2013;10:127-130.

Hutson JM, Clarke MC. Current management of the undescended testicle. Semin. Pediatr. Surg. 2007;16:64-70.

Abbas TO, Hayati A, Ismail A, Ali M. Laparoscopic management of intra-abdominal testis: 5-year single-centre experience – A retrospective descriptive study. Minim. Invasive Surg. 2012;2012:Article ID 878509:4.

Esposito C, Vallone G, Settimi A, et al. Laparoscopic orchiopexy without division of the spermatic vessels: can it be considered the procedure of choice in case of intraabdominal testis? Surg. Endosc. 2000;14:658-660.

Guo J, Liang Z, Zhang H, et al. Laparoscopic versus open orchiopexy for non-palpable undescended testes in children: a systemic review and meta-analysis. Pediatr. Surg. Int. 2011;27:943-952.

El-Anany F, El-Mouda MG, Moneim AA, et al. Laparoscopy for impalpable testis: classification-based management. Surg. Endosc. 2007;21:449-454.

Castillo-Ortiz J, Muñiz-Colon L, Escudero K, Perez-Brayfield M. Laparoscopy in the surgical management of the non-palpable testis. Front. Pediatr. 2014;2(28):1-4.

Gapany C, Frey P, Cachat F, et al. Management of cryptorchidism in children: guidelines. Swiss Med. Wkly. 2008;138:492-498.

Phewplung T, Mahayosnond A, Trinavarat P. Accuracy of ultrasound in paediatric undescended testes. Asian Biomed. 2010;4:983-986.

Tasian GE, Copp HL, Baskin LS. Diagnostic imaging in cryptorchidism: utility, indications, and effectiveness.J. Pediatr. Surg. 2011;46:2406-2413.

Tasian GE, Copp HL. Diagnostic performance of ultrasound in nonpalpable cryptorchidism: a systematic review and meta-analysis. Pediatrics. 2011;127:119-128.

Mathers MJ, Sperling H, Rübben H, Roth S. The undescended testis: diagnosis, treatment and long-term consequences. Dtsch. Arztebl. Int. 2009;106:527-532.


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Copyright (c) 2015 A. A. Pereiaslov, Yu. R. Dotsenko

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