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Assessment of Diagnostic Value of Sonography for Cryptorchidism

Radiology Department of Imam Khomeini Hospital, Tabriz University of Medical Sciences, Tabriz, Iran

Amir Hassan Fathi, MD

Radiology Department of Imam Khomeini Hospital, Tabriz University of Medical Sciences, Tabriz, Iran

Hojjat Pourfathi, MD

Radiology Department of Imam Khomeini Hospital, Tabriz University of Medical Sciences, Tabriz, Iran

Cryptorchidism refers to the condition in which the testicle is not positioned in the base of the scrotum. The most important goal of diagnosing and managing the undescended testis is to place the testis in the scrotum to maximize its potential for spermatogenesis. This article provides a comprehensive concept of cryptorchidism, its diagnosis, and complications. This prospective study was performed to assess the value of sonography in the diagnosis of undescended testes. This prospective study was performed to evaluate 124 cases of cryptorchidism. In the authors’ survey, the sensitivity of sonography for determining cryptorchidism was 91%. The most common site of undescended testis was the inguinal canal, and the right undescended testis was localized more than the left undescended testis. The results were compatible with other studies. It was concluded that sonography is the safest, most noninvasive, and most valuable method of detection for undescended testes.

Key Words: cryptorchidism • sonography • diagnosis

References

• Rajfer J: Congenital anomalies of the testis and scrotum. In Cambpell H, Cambpell (eds.), Urology, Vol. 2, 7th ed. Philadelphia: W. B. Saunders, 1998, pp 4172-4181.
• Salder TW: Longman’s Medical Embryology. 9th ed. St. Louis, MO: Mosby, 2004.
• Elder JS: The undescended testis: hormonal and surgical management. Surg Clin North Am 1988;68:983-1006.[Medline] [Order article via Infotrieve]
• MacKinnon AE: The undescended testis. Ind J Pediatr 2005;72:429-432.[Medline] [Order article via Infotrieve]
• Siu SS, Leung TN, Leung TY, Ng SW, Yeung CK, Lau TK: Prenatal diagnosis of intra-abdominal mature testicular teratoma. Ultrasound Med 2001;20:1257-1260.
• Martin DC: Germinal cell tumors of the testis after orchidopexy. J Urol 1997;121:433-435.
• Elder JS: Laparoscopy for the impalpable testis: significance of the patent processus vaginalis. J Urol 1994;152:776-778.[Medline] [Order article via Infotrieve]
• Pekkafali MZ, Sahin C, Ilbey YO, Albayrak S, Yildirim S, Basekim CC: Comparison of ultrasonographic and laparoscopic findings in adult nonpalpable testes cases. Eur Urol 2003;44:124-127.[Medline] [Order article via Infotrieve]
• Diamond DA, Caldamone AA: The value of laparoscopy for 106 impalpable testes relative to clinical presentation. J Urol 1992;148:632-634.[Medline] [Order article via Infotrieve]
• Vijjan VK, Malik VK, Agarwal PN: The role of laparoscopy in the localization and management of adult impalpable testes. JSLS 2004;8:43-46.[Medline] [Order article via Infotrieve]
• Moore RG, Peters CA, Bauer SB, Mandell J, Retik AB: Laparoscopic evaluation of the nonpalpable testis: a prospective assessment of accuracy. J Urol 1994;151:728-731.[Medline] [Order article via Infotrieve]
• Hecht S, King R, Tidwell AS, Gorman SC: Ultrasound diagnosis: intra-abdominal torsion of a non-neoplastic testicle in a cryptorchid dog. Vet Radiol Ultrasound 2004;45:58-61.[Medline] [Order article via Infotrieve]
• van den Berg JC, Rutten MJ, de Valois JC, Jansen JB, Rosenbusch G: Masses and pain in the groin: a review of imaging findings. Eur Radiol 1998;8:911-921.[CrossRef][Medline] [Order article via Infotrieve]
• Kirsch AJ, Escala J, Duckett JW, et al: Surgical management of the nonpalpable testis: the Children’s Hospital of Philadelphia experience. J Urol 1998;159:1340-1343.[CrossRef][Medline] [Order article via Infotrieve]
• Wilson-Storey D, McGenity K, Dickson JA: Orchidopexy: the younger the better? J R Coll Surg Ed 1990;35:362-364.
• Wolverson MK, Jagannadharao B, Sundaram M, Riaz MA, Nalesnik WJ, Houttuin E: CT in localization of impalpable testes. Am J Roentgenol 1980;134:725-729.[Abstract]
• Hamm B: Sonography of the testis and epididymis. Andrologia 1994;26:193-210.[Medline] [Order article via Infotrieve]
• Weiss RM, Carter AR, Rosenfield AT: High resolution real-time ultrasonography in the localization of the undescended testis. J Urol 1986;135:936-938.[Medline] [Order article via Infotrieve]
• Rosenfield AT, Hammers LW: Imaging of the testicle: the painful scrotum and nonpalpable masses. Urol Radiol 1992;14:229-233.[Medline] [Order article via Infotrieve]
• Pekkafali MZ, Sahin C, Ilbey YO, Albayrak S, Yildirim S, Basekim CC: Comparison of ultrasonographic and laparoscopic findings in adult nonpalpable testes cases. Eur Urol 2003;44:124-127.[Medline] [Order article via Infotrieve]
• Hrebinko RL, Bellinger MF: The limited role of imaging techniques in managing children with undescended testes. J Urol 1993;150:458-460.[Medline] [Order article via Infotrieve]
• Cortes D, Thorup J, Lindenberg S, Visfeldt J: Infertility despite surgery for cryptorchidism in childhood can be classified by patients with normal or elevated follicle-stimulating hormone and identified at orchidopexy. Br J Urol Int 2003;91:670-674.
• Topuzlu Tekant G, Emir H, Eroglu E, et al: Experience with laparoscopy in nonpalpable testis. Eur J Pediatr Surg 2001;11:177-181.[Medline] [Order article via Infotrieve]
• Gill B, Kogan S: Cryptorchidism: current concepts. Pediatr Clin North Am 1997;44:1211-1227.[CrossRef][Medline] [Order article via Infotrieve]
• Elder JS: Epididymal anomalies associated with hydrocele/hernia and cryptorchidism: implications regarding testicular descent. J Urol 1992;148:624-626.[Medline] [Order article via Infotrieve]
• Maughnie M, Vanzulli A, Paesano P, et al: The accuracy of magnetic resonance imaging and ultrasonography compared with surgical findings in the localization of the undescended testis. Arch Pediatr Adolesc Med 1994;148: 699-703.[Abstract/Free Full Text]
• De Filippo RE, Barthold JS, Gonzalez R: The application of magnetic resonance imaging for the preoperative localization of nonpalpable testis in obese children: an alternative to laparoscopy. J Urol 2000;164:154-155.[CrossRef][Medline] [Order article via Infotrieve]
• Dogra VS, Gottlieb RH, Oka M, Rubens DJ: Sonography of the scrotum. Radiology 2003;227:18-36.[Abstract/Free Full Text]
• MacGahan J: Diagnostic Ultrasound. New York: Lippincott Raven, 1997.
• Varela-Cives R, Bautista-Casasnovas A, Gude F, Cimadevila-Garcia A, Tojo R, Pombo M: The predictive value of inguinal herniography for the diagnosis and treatment of cryptorchidism. J Urol 2000;163:964-967.[Medline] [Order article via Infotrieve]

Journal of Diagnostic Medical Sonography, Vol. 22, No. 1, 42-47 (2006)
DOI: 10.1177/8756479305282957


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This Article Abstract Free Full Text (Free PDF) Free Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Daghighi, M. H. Articles by Pourfathi, H. Search for Related Content Social Bookmarking                         What's this?