Ectopic testis in children: Experience with seven cases

Perineal Ectopic Testis in an Adult

“…The occurrence of ectopic testes is rare, with the perineal location as in our case being the most common (2). Most diagnoses of ectopic testes are made in early childhood (2, 7, 9, 10) with older children and adult presentation being rare (3, 4, 12, 13,) as in our case.…”

“…Ku (3) reported a perineal testis in a 36 year old, while Ates (12) reported the same in a 21 year old. In patients with an empty scrotum, clinical examination of the normal path of testicular descent and the areas of ectopic location, form the mainstay of diagnosis (1,2,5) as was the situation in our patient with the ultrasound examination only confirming this. Our patient was managed by orchidopexy through an inguinal crease incision as the spermatic cord was of normal length as similarly stated in the literature (2, 10).…”

“…Rarely a testis may stray from the normal descent to settle in an ectopic site outside the ipsilateral scrotum. Congenital fascial bands at the root of the scrotum could be the cause of migration of the testis to an ectopic site (2). Some locations of an ectopic testis are: the pubic region, dorsal penile area, femoral triangle, anterior abdominal wall, the opposite hemiscrotum and the perineum (2)(3)(4)(5)(6)(7)(8).…”

“…Like undescended testes, ectopic testes are prone to trauma and testicular torsion. This is also associated with inguinal hernia and infertility (2,5). Functional prognosis is similar (9).…”

“…Functional prognosis is similar (9). Orchidopexy through an inguinal incision is the standard procedure as the cord structures are of normal length (2). If the testis is severely atrophic , orchidectomy is undertaken (10) and orchidopexy performed on the contralateral normal testis, which is the standard procedure for a solitary testis (11).…”