Perineal ectopic testis - a rare encounter in paediatric surgical practice

Area of Science:

• Urology
• Pediatric Surgery
• Developmental Biology

Background:

• Testicular maldescent, or undescended testes, is a common condition in pediatric surgery.
• Perineal ectopic testis is a rare anatomical variant of testicular maldescent.
• This condition requires careful diagnostic consideration and surgical management.

Observation:

• This report details two cases of perineal ectopic testes.
• One case presented as bilateral perineal ectopic testes, representing the sixth documented instance globally.
• Surgical intervention involved mobilizing the testes and fixing them within the scrotum.

Findings:

• The gubernaculum testis was observed to be fixed within the perineum in both patients.
• Surgical outcomes were successful in repositioning the ectopic testes.
• This highlights the importance of a comprehensive examination for undescended testes.

Implications:

• Clinical examination of patients with an empty scrotum should include palpation of the perineal region.
• Early diagnosis and surgical correction of perineal ectopic testes are crucial for optimal outcomes.
• Understanding the anatomical variations in testicular descent aids in managing maldescent conditions.