ObjectiveTo evaluate the management and outcomes of patients who presented with torsion of an undescended testis and review the reported series in the literature.MethodsThe case records of 13 patients operated for testicular torsion involving undescended testis were retrospectively reviewed. The medical records included age at presentation, medical history, physical examination, operative findings and the results of follow-up. The diagnosis of torsion of undescended testis was made clinically and confirmed by inguinal exploration.ResultsIn six cases the testis was preserved and orchiopexy was performed, while in seven cases orchidectomy was performed due to testicular gangrene in six patients and testicular tumor discovered peroperatively in one case. Mean duration of symptoms at time of surgery in the orchiopexy group was 6.5 h and in the orchidectomy group was 21.2 h. From six patients treated by orchiopexy, two patients suffered from testicular atrophy at a mean of 24 months.ConclusionTesticular torsion in undescended testis is still diagnosed with delay which may affect testicular salvage. The importance of examination of external genital organs is highlighted which should be routinely included by emergency physicians in physical examination for abdominal or groin pain.

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Highlights Pleomorphic liposarcoma of the spermatic cord is a very rare subtype of liposarcoma. It is considered to be one of the highest malignancy grades with high invasion, metastasis and recurrence. The diagnosis is a mixture of clinical, radiological and histological arguments. The mainstay of management is wide excision of the soft tissue mass with radical orchiectomy. The role of adjuvant treatments remains controversial.

HighlightsPolyorchidism is a rare congenital abnormality. To the best of our knowledge, this is the first report of leiomyoma in supranumerary testis (SNT).Most cases of polyorchidism are found incidentally during surgery for inguinal hernia, undescended testes, torsion or testicular tumor.There is no consensus regarding the management of SNT. If the SNT is scrotal, most authors recommend conservative management.If nonscrotal SNT is found incidentally during surgery, orchiectomy could be performed because of increased risk of malignancy.Treatment of intratubular germ cell neoplasia includes surveillance, orchiectomy, or low-dose external radiation.