A review of the English literature has yielded 39 cases of polyorchidism suitable for consideration in this review, and we add one more. The patients may be grouped according to the location of the aberrant testicular mass or the anatomic arrangement of their collecting systems.

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We present a modification of the classic Marshall-Marchetti-Krantz procedure in which only 1 pair of sutures is used. Each suture snugs the periurethral tissue of the anterior vaginal wall on each side to the posterior surface of the symphysis pubis and ipsilateral pubic bone by passing the suture through a hole drilled in each respective pubic bone. Complications have been temporary difficulty in voiding after the catheter has been removed and an occasional incisional hernia. Osteitis pubis has not been a problem possibly because of the use of wide-spectrum antibiotics.