Perineal Ectopic Testis in an Adult

Gilbert Maranya,Bernard Mwero

doi:10.4314/aas.v14i1.11

Abstract

Testicular maldescent may be cryptorchid with descent being arrested along its normal pathway resulting in an abdominal, inguinal or high scrotal testis, or it may stray from the normal descent to settle in an ectopic site outside the scrotum; such as the perineum, pubic region, dorsum of the penis, femoral region, anterior abdominal wall and the contralateral scrotum. Management is orchidopexy through an inguinal crease incision as the length of the spermatic cord is normal. We report a 26 year old man with a left perineal testis who underwent orchidopexy as the testicular volume was normal.Key words: Ectopic testis, Perineal testis,Maldescended testis

Highlights

Maldescent of the testis is the most common anomaly of the genitalia [1]
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]

Summary

Introduction

In most of these the descent is arrested along its normal pathway resulting in an abdominal, inguinal or high scrotal testis. 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].

Results

Conclusion