Work

A case report of laparoscopic orchopsis for transverse testicular ectopia via the Hesselbach route

Year: 2025

Type: article

Abstract: Background: Testicular transverse ectopia (TTE) is a rare congenital abnormality in which both testicles descend into the same hemiscrotum via a solitary inguinal canal. This condition is frequently linked with inguinal hernias and various urogenital irregularities, and it may manifest as an unoccupied opposite scrotum or as a discernible lump in the groin or scrotal area. Patient presentation: A 9-month-old boy was diagnosed with a right inguinal hernia, which presented as a 3 cm × 3 cm palpable mass without pain upon examination. During surgery, both testicles were discovered to be undescended, fused by their ligaments, and had independent vas deferens, vascular supplies, and epididymides. The poorly developed testicles were fixed in the scrotum via Hei's triangle. Postoperative follow-up revealed normal testicular positioning, with no retraction, atrophy, or hernia recurrence. Conclusions: Orchiopexy via Hei's triangle is a new surgical option for patients with Type I TTE who have insufficient length spermatic cord blood vessels.

Source: Frontiers in Pediatrics

DOI: 10.3389/fped.2025.1514662

Authors: Xu Zhuofan, Zhao Xudong, Yuan Boxiang

Institution: Zhongshan People's Hospital

Language: English

Topic: Testicular diseases and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801