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Parascrotal Approach for Orchiopexy in Perineal Ectopic Testes: Our Experience Over 10 Years
Kumar Abdul Rashid1, Mudasir Ahmad Magray1, Reyaz Ahmad Wani2
1Department of Pediatric Surgery, Super-Specialty Hospital, Government Medical College, Srinagar, Jammu and Kashmir, India.
Journal of Indian Association of Pediatric Surgeons
|June 18, 2026
Summary
Perineal ectopic testis (PET) is rare, requiring prompt scrotal placement. Parascrotal orchiopexy is a safe and effective surgical technique for managing PET, ensuring successful testicular repositioning.
Area of Science:
- Pediatric Surgery
- Urology
- Developmental Biology
Background:
- Perineal ectopic testis (PET) is a rare congenital anomaly.
- It requires prompt management to prevent complications similar to undescended testis (UDT).
- Early scrotal placement is critical for testicular function.
Purpose of the Study:
- To present the surgical experience with parascrotal orchiopexy for managing perineal ectopic testis (PET).
- To evaluate the efficacy and safety of this minimally invasive approach.
Main Methods:
- Retrospective review of 12 PET cases operated between June 2015 and July 2025.
- Analysis of clinicodemographic data, operative procedures, and follow-up outcomes.
- All patients underwent orchiopexy via a parascrotal incision.
Main Results:
- 12 cases of PET were identified with a mean age of 13.4 months.
- The right side was affected more frequently (2:1 ratio).
- Mean operative time was 47 minutes, with no reported complications and successful scrotal placement on follow-up.
Conclusions:
- Parascrotal orchiopexy is a feasible and effective surgical option for PET.
- This approach offers cosmetic benefits and ensures successful testicular repositioning.
- Timely surgical intervention is crucial for managing PET.
