A Case of Bilateral Perineal Ectopic Testes Treated with Hormone Therapy and Orchiopexy

Bilateral ectopic testes, located in the perineum is a rare disease with no cases reported yet in Korea. We report a case of bilateral perineal ectopic testes in a 7-month-old infant who visited for evaluation of both non palpable testis in scrotum. External genitalia was male in appearance and cystic masses were palpated in both inguinal area. Serum testosterone level was lower than 0.01 ng/mL and suspicious hernial sac-like structures were seen in both inguinal area on pelvic ultrasonography. After 4 weeks of total 12,000IU hCG(human chorionic gonadotropin) therapy in pediatrics, serial follow up was done for 2 months and bilateral palpable masses were identified on deep perineal area, so bilateral orchiopexy was carried out.