Management of Incidental Finding of Triorchidism Diagnosed During Routine Hernia Repair

Abstract

Polyorchidism is a rare congenital anomaly which refers to the presence of more than two intra- or extrascrotal testicles. Triorchidism, the presence of one extra testicle is the most common type. This report describes the case of a 29-year-old male who was found to have a right supernumerary undescended testis encountered incidentally during hernia repair. With this in mind, the current knowledge of management of supernumerary testis was analysed, including potential scenarios, to delineate what a urologist should do when a supernumerary testis is found during routine surgical procedures such as orchidopexy or hernia repair.

Triorchidism, a Rare Genitourinary Anomaly: A Case Series

“…In general, in a young patient of reproductive age with grossly non atrophic supernumerary testes and radiologically no concern of malignancy, orchidopexy is recommended if feasible, followed by observation both clinically and radiologically. 7 In our case, the first patient had grossly non atrophic testes that reached the scrotum and thus orchidopexy was done, while for the second patient the supernumerary testis was atrophic and thus orchidectomy was done and was confirmed by histologic analysis.…”

“…The most common type of polyorchidism is triorchidism and is mostly located on the left side (66%) which was also the case in our patients. 7 As to the location of the supernumerary testis, the most common site is scrotal (66%), followed by inguinal (23%) and abdominal (9%). 7 In our case both of the supernumerary testes were located in the inguinal region.…”

“… 7 As to the location of the supernumerary testis, the most common site is scrotal (66%), followed by inguinal (23%) and abdominal (9%). 7 In our case both of the supernumerary testes were located in the inguinal region.…”

Polyorchidism – An Incidental Finding During Orchidopexy: A Case Report and Review of the Literature

“…However, for polyorchidism with extra-scrotal testis or the presence of associated complications such as testicular atrophy, torsion, or malignancy, surgical exploration is recommended. [1][2][3] Here we present a case of incidentally detected polyorchidism during orchidopexy for the left undescended testis in 7-year-old boy.…”

“…Triorchidism is the commonest one among all supernumerary testes. 1,2 Polyorchidism is usually discovered incidentally on imaging or during surgical exploration for other inguinoscrotal pathologies. The most common associated anomalies are undescended testis (40%), inguinal hernia (30%), testicular torsion (13%), hydrocele (9%) and hypospadias (1%).…”