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Transverse testicular ectopia is an extremely rare anomaly, characterized by migration of one testis towards the opposite inguinal canal, usually associated with inguinal hernia. Spermatic cord of the ectopic testis originates from the appropriate side. In most reported cases, the accurate diagnosis has not been made before surgery.

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Two patients who presented with a history of right inguinal hernia and a third with an impalpable left testis were found to have transverse testicular ectopia. Both testes were fixed in their own scrotum, through a modified Ombredanne operation in two patients and a subdartos pouch in one.

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Two patients who presented with a history of right inguinal hernia and a third with an impalpable left testis were found to have transverse testicular ectopia. Both testes were fixed in their own scrotum, through a modified Ombredanne operation in two patients and a subdartos pouch in one.

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Transverse testicular ectopia is a malfunction of which there are 65 cases described in the Western literature. The pathogeny is unknown, although in the cases in which it is associated with persistence of Mullerian residue, it is attributed to a defect in the secretion of MIF (Mullerian inhibiting factor). In the other cases the fundamental cause is considered to stem from alterations in the vascularization of the genital crest, which determines the type of testicular ectopia.

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The Groningen method of urethra reconstruction in hypospadias.

Neth J Surg

April 1989

Department of Plastic and Reconstructive Surgery, Ziekenhuis Rijnstate GZ, Arnhem, The Netherlands.

Hypospadias occurs in one out of 300 boys and is the most common congenital deformity of the male urethra. A modified Ombrédanne operation of urethral reconstruction, the so-called Groningen method, was employed in 21 patients. A good functional result with a virtually normal aspect of the external genitalia could be obtained in 17 patients.

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