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[Perineal testis: report of two cases].
Hinyokika Kiyo. Acta Urologica Japonica
|July 1, 1984
Summary
Perineal testis, a rare congenital anomaly, involves ectopic testicular tissue in the perineum. This report details two new cases, highlighting surgical correction and confirming its rarity in medical literature.
Area of Science:
- Urology
- Pediatric Surgery
- Reproductive Medicine
Background:
- Perineal testis is an extremely rare congenital anomaly characterized by the presence of testicular tissue in the perineal region.
- Despite its rarity, documented cases are increasing, with over 113 reported in English and 13 in Japanese literature prior to this study.
Observation:
- Two new cases of perineal testis are presented: a 38-year-old male with perineal discomfort and a 2-year-old boy with empty scrotal contents.
- Physical examination revealed ectopic testicular masses in the perineum for both patients, with the gubernaculum testis fixed to the perineum during surgical exploration.
Findings:
- Histological examination of the ectopic testis in the adult patient showed mild hypospermatogenesis.
- Both patients underwent successful orchiopexy, repositioning the ectopic testes into the scrotum.
Implications:
- These cases contribute to the limited understanding of perineal testis, emphasizing the importance of surgical intervention for potential fertility and management.
- Further research into the embryological basis and long-term outcomes of perineal testis is warranted.