Triple Testis and Crossed Testicular Ectopia: A Rare Genital Ridge Anomaly Case Series with Proposed Management Protocol

Abstract

Ramendra Shukla*, Sudhir B Chandna, Rasna Tiwari

This study aims to evaluate and understand incidentally detected genital ridge anomalies and review the literature based on the experience of 6 cases reported from our institution from 1993 to 2016, out of which 3 cases have already been published. The children of various age groups reported with unilateral undescended testis in the Outpatient Department (OPD) with a normal testis on the opposite side, which was unusually large on palpation in the superficial inguinal pouch. The sonographic finding was also suggestive of unilateral Undescended Testis (UDT). Intraoperatively, it was found that the children had two testes on one side, which was the cause of the abnormally large UDT. One testis was resected, and the other was placed in the scrotal sac with the Swanson procedure. It is often associated with processus vaginalis anomalies and with increased risk of malignancy and infertility. In this study, we have attempted to evaluate variations in the presentation of genital ridge anomaly and its management protocols.