Tokuda Hospital Sofia


A 2-year old Boy Suffering From Cryptorchidism Underwent a Successful Laparoscopic Treatment Performed by Urologists at Acibadem City Clinic Tokuda Hospital

10 august 2018

The child was diagnosed with a rare type of the condition, usually treated by applying open abdominal surgery

The team of urologists at Acibadem City Clinic Hospital Tokuda treated a hidden testicle located on the right part of the body, in a boy aged 2 years 2 months, by using laparoscopy. The operation was executed by Dr. Kaloyan Davidov, Head of the Department, and Dr. Dimitar Zlatanov and Dr. Adrian Popov.

The procedure started with a diagnostic examination: a laparoscopic camera is inserted in the abdomen. Urologists determine the localization of the testis in the abdominal cavity, and then procedure becomes mini-invasive: using two additional incisions, a few millimeters each. Surgeons helped the organ move down to the scrotum, without the need of the conventional open surgery.

This is a rare intervention, and a similar methodology is innovative not in Bulgaria only, but in the Balkan region as well.

“We performed this operation, adhering strictly to the latest papers by the European Children Urology Association”, Dr. D. Zlatanov explained. The conventional practice a classic abdominal surgery in children makes the rehabilitation period incomparably longer and more challenging.

Cryptorchidism, or “hidden testis” is the most common anomaly in male genitalia, and it is found in 2-5% of newborns. In about 50% of the cases, testes spontaneously go down to their normal location in the body by the end of the sixth month, and there is a great frequency of this problem. Premature and underweight newborns are at high risk of being affected. Studies show in most cases of cryptorchidism, the “hidden” testis gets localized by palpation by the specialist (a children’s urologist), in the inguinal area of the body.

However, there are rare cases, when the testis remains hidden, it cannot be localized by palpation nor diagnostic imaging. In such cases, the approach is using a laparoscopic camera, and the surgical prolapse of the testis in the scrotum is performed after the testis is localized. 

Urologists advise untimely diagnostics and treatment of these conditions may lead to a series of risks. Untreated cryptorchidism may negatively affect man’s reproduction. In cases where a testis remains “hidden” in the abdominal cavity, there is an increased by 80 times risk of developing a malignant process.


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Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.


From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.