Perineal Ectopic Testis with Unilateral Scrotal Hypoplasia

Abstract

Abstract:The ectopic testis is frequently misdiagnosed as cryptorchidism or anorchism. We present a case of three month old male infant diagnosed as right ectopic perineal testis and right hemiscrotal hypoplasia. Ectopic testes are thought to be greater at risk of trauma, testicular torsion, subfertility and malignancy. Although definitive evidence in support of these fears in case of perineal ectopia is lacking due to its rarity and lack of long follow-up. Surgical correction of undescended testes is generally done at about 6 months of age to allow for spontaneous descent. On the other hand there is no need to delay surgery in ectopic testis because possible descent as seen in undescended testis will not occur. Yet the timing of surgery can be individualized for perineal ectopia without any unnecessary delay.

Five different cases of ectopic testes in children: a self-experience with literature review

“…Patients with TTE usually present with right ectopic testis with clinical signs of inguinal hernia on contralateral side or sometimes present with incarcerated hernia 5 26. The diagnosis of such case is usually made during exploration for inguinal hernia and it is very difficult to made preoperatively.…”

“…The most widely recognized aberrant locations are superficial inguinal pouch (Denis Browne pouch), perineum, femoral canal, contralateral scrotum (transverse testicular ectopia (TTE)) and prepenile area 3 4. Ectopic testis happens in just 5% of instances of empty scrotum 5…”