PDF(Pubmed)
Abstract：
BACKGROUND: Perineal ectopic testis (PET) is a rare congenital anomaly; the diagnosis is typically made by conducting a physical examination of the ectopic areas and noting an empty scrotum on the corresponding side. We report two pediatric cases of PET in whom this condition was diagnosed by a discomfort induced by the sitting position.
METHODS: Two cases of PET were operated on in our pediatric surgery department over the past three years. Patients were referred for perineal discomfort in the sitting position. Children had difficulty staying seated at home or school, this was described by parents as an abnormal fussiness after sitting. The age at diagnosis was five and three years. The diagnosis of perineal testicular ectopia was made through physical examination. Orchidopexies to the corresponding scrotum were performed in both cases via an inguinal approach. No postoperative complication was noted with a follow-up of 24 months.
UNASSIGNED: PET is typically diagnosed through clinical examination, characterized by an empty scrotum and a palpable perineal mass. The exact aetiology is unclear, but it involves abnormalities in testicular descent mechanisms, particularly the gubernaculum. PET can cause perineal discomfort when sitting, a symptom observed in the two pediatric cases presented. Early surgical intervention via orchidopexy is crucial to prevent complications. Both reported cases were successfully treated with no postoperative complications and resolution of discomfort. Prompt diagnosis and treatment are essential for preserving testicular function.
CONCLUSIONS: Perineal discomfort on sitting was the defining diagnostic element in our cases. In practice, this symptom should be a prompt for a thorough perineal examination in children with an empty scrotum. However, the patient\'s age and ability to express himself determine the significance of the symptom.
METHODS: Two cases of PET were operated on in our pediatric surgery department over the past three years. Patients were referred for perineal discomfort in the sitting position. Children had difficulty staying seated at home or school, this was described by parents as an abnormal fussiness after sitting. The age at diagnosis was five and three years. The diagnosis of perineal testicular ectopia was made through physical examination. Orchidopexies to the corresponding scrotum were performed in both cases via an inguinal approach. No postoperative complication was noted with a follow-up of 24 months.
UNASSIGNED: PET is typically diagnosed through clinical examination, characterized by an empty scrotum and a palpable perineal mass. The exact aetiology is unclear, but it involves abnormalities in testicular descent mechanisms, particularly the gubernaculum. PET can cause perineal discomfort when sitting, a symptom observed in the two pediatric cases presented. Early surgical intervention via orchidopexy is crucial to prevent complications. Both reported cases were successfully treated with no postoperative complications and resolution of discomfort. Prompt diagnosis and treatment are essential for preserving testicular function.
CONCLUSIONS: Perineal discomfort on sitting was the defining diagnostic element in our cases. In practice, this symptom should be a prompt for a thorough perineal examination in children with an empty scrotum. However, the patient\'s age and ability to express himself determine the significance of the symptom.
摘要：
背景：会阴异位睾丸（PET）是一种罕见的先天性异常；诊断通常是通过对异位区域进行体格检查并注意到相应侧的阴囊空。我们报告了两例儿科PET病例，其中这种情况是由坐姿引起的不适诊断的。
方法：在过去的三年中，我们的小儿外科进行了2例PET手术。患者因坐位会阴不适而转诊。孩子们很难坐在家里或学校，这被父母描述为坐着后的异常烦躁。诊断年龄为5岁和3岁。通过体格检查诊断为会阴睾丸异位。在两种情况下，均通过腹股沟入路对相应阴囊进行了睾丸固定术。随访24个月，未发现术后并发症。
■PET通常通过临床检查诊断，阴囊空，会阴肿块明显。确切的病因尚不清楚，但它涉及睾丸下降机制的异常，尤其是Gubernaculum.PET会在坐着时引起会阴不适，在两个儿科病例中观察到的症状。通过睾丸固定术进行早期手术干预对于预防并发症至关重要。两例报告病例均成功治疗，无术后并发症，不适缓解。及时的诊断和治疗对于保持睾丸功能至关重要。
结论：在我们的病例中，会阴坐位不适是诊断的决定性因素。在实践中,此症状应提示阴囊空的儿童进行彻底的会阴检查。然而,患者的年龄和表达能力决定了症状的重要性。
方法：在过去的三年中，我们的小儿外科进行了2例PET手术。患者因坐位会阴不适而转诊。孩子们很难坐在家里或学校，这被父母描述为坐着后的异常烦躁。诊断年龄为5岁和3岁。通过体格检查诊断为会阴睾丸异位。在两种情况下，均通过腹股沟入路对相应阴囊进行了睾丸固定术。随访24个月，未发现术后并发症。
■PET通常通过临床检查诊断，阴囊空，会阴肿块明显。确切的病因尚不清楚，但它涉及睾丸下降机制的异常，尤其是Gubernaculum.PET会在坐着时引起会阴不适，在两个儿科病例中观察到的症状。通过睾丸固定术进行早期手术干预对于预防并发症至关重要。两例报告病例均成功治疗，无术后并发症，不适缓解。及时的诊断和治疗对于保持睾丸功能至关重要。
结论：在我们的病例中，会阴坐位不适是诊断的决定性因素。在实践中,此症状应提示阴囊空的儿童进行彻底的会阴检查。然而,患者的年龄和表达能力决定了症状的重要性。
