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

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.