Management of Transverse Testicular Ectopia with Persistent Mullerian Duct Syndrome

Abstract

According to additional anomalies, transverse testicular ectopia (TTE) is classified into three groups. Type-2 TTE, accompaniedby persistent mullerian duct syndrome, constitutes approximately 20% of the patients. Surgical treatment should beplanned after careful physical examination, ultrasonography, and genetic/endocrinologic evaluation. Herniorrhaphy, orchiopexywith testicular biopsy, and excision of the mullerian structures are the most appropriate surgical approaches in cases ofTTE with persistent mullerian duct syndrome. We aimed to share our approach to the diagnosis and treatment of a patientwith type-2 TTE. Possibility of TTE should be kept in mind in children with nonpalpable testis on one side and inguinal herniaon the other side.