Ectopic Testis, Pubo-Penile: A Rare Entity

Background: Pubo-penile ectopic testis is a rare congenital anomaly in which the testis is situated along the penile shaft or along its root. We are reporting a rare case of penile testicular ectopia whose etiopathogenesis is poorly understood. We describe one case of Pubo-penile ectopic testis in a Eleven-years-old child. The diagnosis was made on physical examination alone. The condition was present since birth but child presented late and successfully treated.

Clinical Description: 9 yrs old male child presented with swelling along base of penis since birth. On examination, left hemi-scrotum was empty with poorly developed scrotal sac. External genitalia was normal and appropriately developed. There was a single, firm, well defined, non-tender, mobile, oval shaped swelling of size 3.5 X 2.5cms, palpable at the base of the penis. Right sided testis was normally placed in scrotum. Testicular sensations were intact.

Management: Ultrasound abdomen and inguino-scrotal region was done & it confirmed the ectopic location of the testis. Incision was given over the swelling at the base of penis to mobilise the testis along with spermatic cord and it was taken through the superficial ring in to the scrotum by small inguinal incision. Orchidopexy was done & testis was anchored in the left extra dartos pouch. Postoperative period was uneventful and child was doing good in follow-up.

Conclusion: Pubo-penile ectopic testis is rare. Examination of a child with an empty scrotum should include examination of all potential ectopic sites. The diagnosis is based on physical examination. Treatment is surgical and long-term prognosis is excellent.