Ectopic testes are a rare congenital anomaly, differing from undescended testis (cryptorchidism) in that ectopic testis is a congenitally abnormally located testis, that has descended from the abdominal cavity away from the normal path of descent while undescended testis are congenitally abnormally located testis within the normal path of descent.
It is very rare when compared with the incidence of undescended testis, for example ectopic perineal testis has a prevalence of 1% of all undescended testes cases.
Empty scrotal sac +/- soft tissue nodule/mass elsewhere (see location below).
Unlike an incompletely descended testis it cannot be pushed into scrotum, and it is liable to injury.
Ectopic testis has a deviated normal path to settle in unexpected location outside the abdominal cavity.
The most common region in descending order:
- superficial inguinal pouch which lies anterior to the external oblique aponeurosis
- perineum / anterior to root of penis
- femoral triangle / upper thigh
- contralateral scrotum
Usually detected by ultrasound examination, which shows an empty scrotal sac with evidence of oval shape structures outside scrotal sac (with similar ultrasound characteristics).
Treatment and prognosis
Treatment is by orchidopexy.
- undescended or incompletely descended testis
- absent or markedly atrophied testis
- 1. Ramareddy RS, Alladi A, Siddappa OS. Ectopic testis in children: experience with seven cases. J. Pediatr. Surg. 2013;48 (3): 538-41. doi:10.1016/j.jpedsurg.2012.10.005 - Pubmed citation
- 2. Medical-dictionary.thefreedictionary.com. ectopic testis. Read relevant article. Accessed on 05/06/2016
- 3. Tasdemir C, Tuygun UO. Perineal ectopic testis: a case report. Eur Rev Med Pharmacol Sci. 2012;15 (11): 1318-9. Pubmed citation