Understanding Transverse Testicular Ectopia: Lessons from a Retrospective Analysis of 14 Pediatric Cases

Ali Raza Brohi¹*, Naseem Mengal², Zuhra Muskan³, Akasha Younus³, Syeda Sarah³, Aiman Ali Brohi⁴ and Ali Faraz Brohi^5
1Professor, Peadiatric Surgery, Peoples University of Medical and Health Sciences for Women, Nawabshah Sind
²Associate Professor, Peadiatric Surgery, Peoples University of Medical and Health Sciences Nawabshah Sind
³Final Year Medical Students, Peoples University of Medical & Health Sciences for Women Nawabshah Sind
⁴Resident Paediatrics AKU Karachi Sind
⁵Resident Surgery PUMHS Nawabshah Sind
*Corresponding Author: Ali Raza Brohi, Professor & Head Paediatric Surgery, IMCH Children Hospital, Dean Faculty of Surgery, People’s University of Medical & Health Sciences Nawabshah Sind Pakistan.

Published: July 12, 2025

DOI: 10.55162/MCMS.09.304

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Abstract  

Objectives: To comprehend the etiopathogenesis, clinical presentation and abnormalities associated with this rare congenital defect along with diagnostic modalities and effective management techniques for the treatment of TTE in children by conducting a retrospective analysis using clinical information from 14 cases over a period of 10 years.

Methods: Children with TTE were enrolled in this study that underwent treatment between January 2014 to January 2024 at the Institute of Mother & Child Health (IM&CH) PUMHSW, Shaheed Benazirabad, Nawabshah, Pakistan. Clinical data including age, clinical manifestations, TTE-associated anomalies, ultrasonographic findings, and surgical procedures was collected from medical records of all patients. Follow up was conducted up to a period of 6 months.

Results: All 14 cases were treated successfully using laparoscopic surgery. Most of the cases presented with Inguinal Hernia along with TTE and the diagnosis was made intraoperatively except for four cases out of which one was diagnosed during clinical examination of abdominally palpable testes, while ultrasonography was conducted as a baseline modality for investigating TTE. Follow up of all the cases was achieved for not more than 6 months.

Conclusion: TTE must be suspected in patients presenting with nonpalpable undescended testis and contralateral inguinal hernia. The contralateral processus vaginalis sac is found in all instances of TTE. Ultrasonography is necessary for a prompt diagnosis of TTE. Laparoscopic surgery is a secure, efficient, and minimally invasive treatment modality for successful correction of TTE.

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