SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Case Report
Delayed recognition of perineal ectopic testis in a pediatric patient: diagnostic and surgical implications of a rare cryptorchidism varian
Abstract
Cryptorchidism is one of the most prevalent congenital urogenital anomalies in the paediatric male population. Ectopic testis cases are less frequent, with perineal localization being the rarest form.A six-year-old patient was referred to the paediatric urology outpatient clinic following the failure to palpate the right testis during a routine physical examination in primary care. The evaluation process revealed the presence of a perineal ectopic testis, a diagnosis that was subsequently confirmed through ultrasonography. The testis was surgically mobilised, placed in a dartos pouch, and fixed in the scrotum. Perineal ectopic testis is a diagnostically challenging and rare variant. Even though the diagnosis was made at an older age in this case, the surgical procedure resulted in anatomically successful outcomes. The utilisation of systematic genital examinations within primary healthcare settings facilitates the timely identification and subsequent referral of cases exhibiting similar characteristics. Early diagnosis is of pivotal importance in preserving testicular function. It is important to note that even in cases where the onset of symptoms is delayed, the implementation of appropriate surgical intervention can result in favourable outcomes. The quality of primary care follow-up is fundamental to this process.

Keywords : Cryptorchidism, perineal testis, pediatric urology, scrotal orchidopexy, primary care, delayed diagnosis

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1. Braga LH, Lorenzo AJ, Romao RLP. Canadian Urological Association-Pediatric Urologists of Canada (CUA-PUC) guideline for the diagnosis, management, and followup of cryptorchidism. Can Urol Assoc J. 2017; 11(7):E251-E260. doi:10.5489/cuaj.4585
2. Kolon TF, Herndon CA, Baker LA, et al. Evaluation and treatment of cryptorchidism: AUA guideline. J Urol. 2014;192:337-345. doi:10.1016/j.juro.2014.05.005
3. Priam A, Chabani N, Klein C, Haraux E. Scrotal orchidopexy for perineal ectopic testis. Arch Pediatr. 2022;29(5):404-406. doi:10.1016/j.arcped.2022.03.005
4. Wood HM, Elder JS. Cryptorchidism and testicular cancer: separating fact from fiction. J Urol. 2009;181(2):452-461. doi:10.1016/j.juro.2008.10.074
5. Liu J, Xiu W, Sui B, et al. Open controversies on the treatment of undescended testis: an update. Front Pediatr. 2022;10:874995. doi:10.33 89/fped.2022.874995
6. Koc G, Sural YS, Filiz ND, Yilmaz Y. Perineal ectopic testis. Urol J. 2012;9(1):433-435.
7. Shin J, Jeon GW. Comparison of diagnostic and treatment guidelines for undescended testis. Clin Exp Pediatr. 2020;63(11):415-421. doi:10.33 45/cep.2019.01438
8. Tasian GE, Copp HL. Diagnostic performance of ultrasound in nonpalpable cryptorchidism: a systematic review and meta-analysis. Pediatrics. 2011;127(1):119-128. doi:10.1542/peds.2010-1800
9. Chan E, Wayne C, Nasr A. Ideal timing of orchiopexy: a systematic review. Pediatr Surg Int. 2014;30(1):87-97. doi:10.1007/s00383-013-3429-y
10. Igarashi A, Kikuchi K, Ogushi K, et al. Surgical exploration for impalpable testis: which should be first, inguinal exploration or laparoscopic abdominal exploration? J Pediatr Surg. 2018;53(9):1766-1769. doi:10.1016/j.jpedsurg.2017.10.046
Article available in :
Volume 3, Issue 1, 2026
Page : 27-29
https://doi.org/10.51271/SOC-0062
Article Information
Received : 30 May 2025
Accepted : 19 Haz 2025
Published : 17 Oca 2026
Corresponding Author :

Nilsun Kuas: Department of Pediatric Urology, Eskişehir City Hospital, Eskişehir, Turkiye

[email protected]
Citation : Kuas N, Turan H. Delayed recognition of perineal ectopic testis in a pediatric patient: diagnostic and surgical implications of a rare cryptorchidism variant. Surg Child. 2026;3(1):27-29.

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