transverse testicular ectopic testis

TTE is a rare anomaly that usually presents as a unilateral cryptorchidism and a contralateral descendent testis with an associated hernia.

In suspected cases, laparoscopy and ultrasonographic evaluation may be helpful in diagnosing this condition before surgery.

Surgery, transseptal orchiopexy, is highly recommended to manage TTE especially when vasa deferentia are fused.

In case of PMDS, preserving Müllerian remnants is preferred because of the risk of vas deferens and testicular blood supply damage. Recently, laparoscopy is useful for both diagnosing and management of TTE and associated anomalies.

Synopsis

 inguinal hernia
 undescended testes

Associations

 persistent Müllerian duct syndrome (PMDS)

References

 Tuberculosis of transverse testicular ectopic testis associated with persistent mullerian duct syndrome. Kella N, Rathi PK, Qureshi MA. J Coll Physicians Surg Pak. 2008 Apr;18(4):250-1. PMID: 18474165

 Transverse testicular ectopia: a three-case report and review of the literature. Naouar S, Maazoun K, Sahnoun L, Jouini R, Ksia A, Elezzi O, Krichene I, Mekki M, Belghith M, Nouri A. Urology. 2008 Jun;71(6):1070-3. PMID: 18291504

 Persistent mullerian duct syndrome and transverse testicular ectopia: embryology, presentation, and management. Wuerstle M, Lesser T, Hurwitz R, Applebaum H, Lee SL. J Pediatr Surg. 2007 Dec;42(12):2116-9. PMID: 18082721