A Rare Presentation of Penopubic Testis in an Infant

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ABSTRACT

An ectopic testis is defined as one that has emerged from the external ring but fails to reach the scrotum. There are, in general, 5 sites of ectopic testis. A rare case of penopubic ectopic testis is reported here. A 6-month-old infant presented with penopubic ectopic testis. An orchidopexy was performed. During the operation, a gubernacular attachment was not found on the testis. Although Lockwood’s 5 tails of gubernaculum form a commonly quoted mechanism of ectopic testis, our case could not fit in this mechanism since the gubernaculum was absent. A break in the gubernaculum during testicular descent, as suggested by Sonneland, leaving the testis radar-less after its exit from the superficial ring, may be an explanation for ectopic location in our case.

Nitinkumar Bhajandas Borkar, Nitin Pant, Satish Kumar Aggarwal

Date Received: November 26, 2011 Accepted on: January 06, 2012

KEYWORDS: Ectopic, penopubic, testis

CORRESPONDENCE: Nitinkumar Bhajandas Borkar, MCh, Department of Pediatric Surgery, Jawaharlal Nehru Medical College, Sawangi, Wardha, Maharashtra, India (drnitinborkar25@gmail.com).

CITATION: UroToday Int J. 2012 Apr;5(2):art 92. http://dx.doi.org/10.3834/uij.1944-5784.2012.04.02