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Transverse testicular ectopia
Abdullah Yıldız1, Murat Yiğiter, Akgün Oral
1Department of Pediatric Surgery, Şişli Etfal Research and Training Hospital, Istanbul, Turkey.
Insights
Transverse testicular ectopia, a rare condition where both testes are on the same side, was studied in six pediatric cases. Orchidopexy with transseptal fixation successfully treated these cases without complications.
Area of Science:
- Pediatric Surgery
- Urology
- Developmental Biology
Background:
- Transverse testicular ectopia is a rare congenital anomaly.
- It often presents with associated inguinal hernias.
- Diagnosis can be challenging, with delays common.
Abstract:
Described herein are six cases of transverse testicular ectopia. All patients who underwent orchidopexy at the one pediatric surgical unit between October 2001 and January 2008 were evaluated. The medical records of all patients diagnosed with transverse testicular ectopia were evaluated retrospectively. Five patients (84%) were admitted with a symptomatic right inguinal hernia and empty scrotum on the left side. Only one child (16%) had left-sided hernia and right non-palpable testis (age ranged from 1 month to 3 years). Four patients (66%) were diagnosed in the operating theatre and the last two (33%) on inguinal ultrasound preoperatively. Magnetic resonance imaging was also performed in the last patient. Herniorrhaphy with fixation of the ectopic gonad to the opposite hemiscrotum through a transseptal incision was performed in all patients. Postoperative complications were not observed.
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