Evaluation and management of ectopic penile testis.

Ectopic testes are found in the superficial inguinal scrotum, base of penis, perineum, or medial thigh. In cases in which the testis crosses the midline, the cord structures may cross intra-abdominally or after exiting the inguinal canal. We describe a patient with an ectopic testis located on the penile shaft ipsilateral to a scrotal testis. Diagnostic laparoscopy identified the cord structures exiting opposite the testis. A scrotal location was achieved using a single high scrotal incision. This case illustrates the utility of laparoscopy for the evaluation and management of a testis that crosses the midline.