Penile ectopic testis: experience of an adolescent

Abstract

This report describes a case of a penile ectopic testis a 14 years old. The condition had been present since birth. Social reasons hampered earlier referral for appropriate medical care. There had been progressive penile development, in association with a swelling, and normal secondary sexual characteristics. The scrotum was well developed on the right side. The right testis and spermatic cord were normal in size and position. The left scrotum was empty. There was an ovoid mass (the left testis) at the right (contralateral), dorsal, proximal half of the penile shaft. It was normal in size with a palpable spermatic cord. An ultrasound scan confirmed these findings. Surgical exploration and mobilization of the ectopic testis was done through a left inguinal incision. A gubernaculum was present. Colle’s fascia of the left scrotum was dissected. A left scrotal incision was used to anchor (orchidopexy) the left testis in a sub-Dartos pouch. Postoperative recovery was normal. It was concluded that a penile ectopic testis, normal in size, may present during adolescence. The condition is correctible though there is need for screening and early detection in children through national Health Policy interventions.

East and Central African Journal of Surgery. 2011 Nov/ December;16 (3)