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External Genital Anomalies in Boys
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=== Embryology === * The processus vaginalis forms during the 3rd month of gestation as the peritoneum bulges into the inguinal canal just before the onset of testicular descent. ** '''On completion of testicular descent, the processus vaginalis obliterates and the portion adjacent to the testes becomes the tunica vaginalis''' ** '''Obliteration of the processus vaginalis continues post-natally, and its failure to obliterate accounts for nearly all inguinoscrotal abnormalities seen in infancy and childhood''' * '''Patent process vaginalis is associated with (4):''' *# '''Transverse testicular ectopia''' *# '''Epididymal anomalies''' *# '''Cryptorchidism''' *# '''Polyorchidism''' ** '''Risk of spermatic cord torsion is associated with abnormal development of the tunica vaginalis but not patency of the processus vaginalis''' * '''Incidence of incidental patency observed in older children and adults at autopsy or laparoscopy is β20%'''
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