Objective: the aim of this work was to create a unique approach for diagnosis & management
of undescended testicles, comparing the role of clinical assessment, ultrasound, MR1 & diagnostic
laparoscopy.
Patients and Methods: Thirty patients were enrolled into study with a total 38 Cryptorchidism. They
were initially evaluated clinically and then by ultrasound. Those with impalpable testis needed further
evaluation, mainly MR1 & laparoscopy.
Results: Twenty-eight out of 38 Cryptorchidism were proved to have palpable testis that continued by
ultrasound only one patient was escaped from ultrasound (US) detection. MR1 failed to discover vanishing
testis, but detected the accurate location of 70% of impalpable testis. Diagnostic laparoscopy had the most
accurate rate for impalpable testicles identification with 100 % accuracy.
Conclusions: Laparoscopy is the most accurate modality for diagnosis and localization of the impalpable
undescended testis. MR1 showed a satisfactory results, when applied as a less invasive diagnostic tools.
US has no roles in cases with impalpable undescended testicles. Clinical examination has proven to be
comparable to ultrasound in detecting of undescended testicles |
