Choosing Wisely:

Don’t perform ultrasound on boys with cryptorchidism.

Rationale and Comments: Ultrasound has been found to have poor diagnostic performance in the localization of testes that cannot be felt through physical examination. Studies have shown that the probability of locating testes was small when using ultrasound, and there was still a significant chance that testes were present even after a negative ultrasound result. Additionally, ultrasound results are complicated by the presence of surrounding tissue and bowel gas present in the abdomen.
Sponsoring Organizations:
  • American Urological Association
  • Sources:
  • Systematic review and meta-analysis
  • Disciplines:
  • Pediatric
  • Urologic
  • References: • Tasian G, et al. Diagnostic performance of ultrasound in nonpalpable cryptorchidism: a systematic review and meta-analysis. Pediatrics. 2011;127(1):119-28.

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