Name of the Condition

• Ectopic perineal testis, unilateral.

Summary

• Ectopic perineal testis is a condition where one of the testicles is located outside its normal anatomical position, specifically in the perineal area instead of the scrotum. This displacement occurs during fetal development and can affect normal testicular function and health.

Causes

• The condition is congenital, resulting from abnormal migration of the testis during fetal development. The exact cause of this abnormal migration is not well understood, but it may be influenced by genetic and environmental factors.

Risk Factors

• Family history of cryptorchidism or other testicular anomalies.
• Premature birth may increase the risk of developing this condition.

Symptoms

• A palpable mass in the perineal area.
• Absence of one testis in the scrotum.
• Potential discomfort or pain at the abnormal location.

Diagnosis

• Physical examination is the primary method to identify the ectopic testis.
• Ultrasound or MRI may be used to confirm the location of the testicle.

Treatment Options

• Surgical intervention is the primary treatment approach, known as orchidopexy, to reposition the testis into its normal location within the scrotum. Surgery is typically advised during early childhood to maximize future fertility and reduce the risk of complications.

Prognosis and Follow-Up

• With timely surgical correction, the prognosis is generally favorable, with most individuals maintaining normal testicular function.
• Regular follow-ups are essential to monitor testicular position and function and to check for any complications.

Complications

• If left untreated, risks include infertility, higher susceptibility to testicular torsion, and an increased risk of testicular cancer.

Lifestyle & Prevention

• There are no specific lifestyle changes to prevent this congenital condition.
• Regular pediatric check-ups can help in early detection and intervention.

When to Seek Professional Help

• Parents should consult a pediatrician if they notice an absent testicle in the scrotum or detect an unusual lump in the perineal area of their child.

Additional Resources

• American Urological Association (AUA)
• Pediatric Endocrine Society
• National Institute of Child Health and Human Development

Tips for Medical Coders

• Ensure precise documentation of the condition's laterality (unilateral) and location (perineal).
• Verify all diagnostic procedures used to corroborate the clinical findings for accurate coding.
• Be cautious of similar conditions like inguinal testis to avoid miscoding.