Abstract
Introduction: Orchiopexy rates are reported to be as high as 2–3% in males up to the age of 17 years, despite a reported childhood prevalence of cryptorchidism of only about 1%. In light of this, several authors have postulated the existence of acquired cryptorchidism as a separate disease entity from congenital cryptorchidism. Case Report: A case of acquired testicular ascent in a 19yearold male. He was involved in a motorcycle accident and was found to have bilaterally retracted testes. Closed reduction of bilateral testes into the scrotum was performed under general anesthesia. Eight months after the initial surgery, the patient presented with spontaneous ascent of the left testis, which was not reducible. Intraoperatively the testis was found to be lying in an ectopic location, superficial to the inguinal canal lateral to the inguinal midpoint. Conclusion: The authors present an unusual case of acquired testicular ascent in an ectopic location. Early surgical exploration is warranted in all cases of cryptorchidism to minimize the possibility of subsequent subfertility or malignant transformation.
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