Delayed recognition of perineal ectopic testis in a pediatric patient: diagnostic and surgical implications of a rare cryptorchidism varian

Cryptorchidism is one of the most prevalent congenital urogenital anomalies in the paediatric male population. Ectopic testis cases are less frequent, with perineal localization being the rarest form.A six-year-old patient was referred to the paediatric urology outpatient clinic following the failure to palpate the right testis during a routine physical examination in primary care. The evaluation process revealed the presence of a perineal ectopic testis, a diagnosis that was subsequently confirmed through ultrasonography. The testis was surgically mobilised, placed in a dartos pouch, and fixed in the scrotum. Perineal ectopic testis is a diagnostically challenging and rare variant. Even though the diagnosis was made at an older age in this case, the surgical procedure resulted in anatomically successful outcomes. The utilisation of systematic genital examinations within primary healthcare settings facilitates the timely identification and subsequent referral of cases exhibiting similar characteristics. Early diagnosis is of pivotal importance in preserving testicular function. It is important to note that even in cases where the onset of symptoms is delayed, the implementation of appropriate surgical intervention can result in favourable outcomes. The quality of primary care follow-up is fundamental to this process.