Management of polyorchidism: Surgery or conservative management?

Bayraktar, Ahmet Murat; Olcucuoglu, Erkan; Şahin, İlyas; Bayraktar, Yesim; Taştemur, Sedat; Sirin, E.

doi:10.4103/0974-1208.74166

Cited by 10 publications

(9 citation statements)

References 6 publications

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“…However, our patient was an adult that presented to the Emergency Room with newonset testicular pain. The most frequent presentation is triorchidism, and the supernumerary testis is most frequently located on the left side [12], as in our patient. The location explanation might be that the left testis is more prone to subdivision because of its greater size and different vascular topographic anatomy.…”

Section: Clinical Manifestationssupporting

confidence: 60%

Polyorchidism: A Rare Cause of Testicular Torsion

Villanueva¹,

Stefania²,

Juliana³

et al. 2022

Int Arch Urol Complic

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Background: Polyorchidism is a rare congenital anomaly of the urogenital tract. Usually, it requires conservative management; however, this varies according to each patient. This report summarizes the possible clinical presentation and the feasible management options depending on the patients and testicular characteristics.Case presentation: 23 years old young male presented to our outpatient clinic with intermittent left testicular pain associated with tenderness to palpation. On the physical exam, he had a palpable mass at the upper pole of the left testis. He was taken to an MRI, which showed a normal right testis with a left mass-dependent of the upper pole of the left testis. He was discharged after pain control was achieved; however, he presented again to the Emergency Room with acute left testicular pain one week later. The physical exam was suggestive of left testicular torsion. He was taken to surgery for scrotal exploration and bilateral testicular fixation. Polyorchidism was confirmed intraoperatively. Conclusions:Polyorchidism is a rare pathology of the male genitalia. When suspected, a thorough physical examination is always mandatory. It is essential to individualize the patients' cases to decide whether conservative management is attainable, with radiologic studies support.

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Section: Clinical Manifestationssupporting

confidence: 60%

Polyorchidism: A Rare Cause of Testicular Torsion

Villanueva¹,

Stefania²,

Juliana³

et al. 2022

Int Arch Urol Complic

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“…Concerning the management of polyorchidism, there is no consensus but taking in consideration of the fertility status of patients and future risk of development of testicular malignancies, most of the reports removed the supernumerary testis [ 3 , 10 ]. Our patient has completed his family number.…”

Section: Discussionmentioning

confidence: 99%

“…Nearly 200 cases were reported in literatures [ 1 , 2 ]. Triorchidism is the most common presentation and the left side is predominantly affected [ 2 , 3 ]. The common pathologies associated with polyorchidism are maldescent (40%), hernia (30%), torsion (15%), hydrocele (9%), and malignancy (6%) [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…There is no consensus in the literature regarding the management of polyorchidism, especially in cases where the supernumerary testes found incidentally are one of a surgical dilemma. Some authors have suggested orchiectomy of the supernumerary testes in adults because of 4%–7% risk of malignancy [ 3 ]. This case report was encountered during routine scheduled operation at a primary level community hospital where experts from different Universities work as an outreach center.…”

Section: Introductionmentioning

confidence: 99%

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Triorchidism; an incidental finding at inguinal hernia repair: A case report

Bayissa

Tesfaye

2020

International Journal of Surgery Case Reports

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“…Polyorchidism presents itself more commonly in the 2 nd to 3 rd decade, with approximately 50% of cases reported between 15 to 25 years of age. 5 The exact etiology is unknown. The common presentations of polyorchidism manifests as maldescent (40%), hernia (30%), torsion (15%), hydrocele (9%), malignancy (6%), 5 , 6 infertility and epididymitis.…”

Section: Discussionmentioning

confidence: 99%

Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia

Bhandarwar

Gandhi

Patel

et al. 2016

Clinics and Practice

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Triorchidism is the commonest variety of polyorchidism, an entity with more than two testis is an extremely rare congenital anomaly of the testis. Although excision of the abnormal testis is a safer alternative proposed, recent literature suggests more conservative approach in normal testes with watchful regular follow up to screen for malignancy. This case presented as a left inguinal swelling diagnosed as indirect left inguinal hernia. The left side testis was of smaller size (about half) with normal sperm count, morphology and motility. Intraoperatively indirect inguinal hernia was noted with supernumerary testis at deep ring in addition to normal left testis in left scrotal sac. The ectopic testis were small (2.5×2.5×1 cm) lacking epididymis and with short vas deferens. An evident normal semen analysis and varied anatomy, the decision for orchidectomy of ectopic testis was taken. The histopathological finding was consistent with arrest in germ cell development.

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Management of polyorchidism: Surgery or conservative management?

Cited by 10 publications

References 6 publications

Polyorchidism: A Rare Cause of Testicular Torsion

Polyorchidism: A Rare Cause of Testicular Torsion

Triorchidism; an incidental finding at inguinal hernia repair: A case report

Triorchidism: Presenting as Undescended Testis in a Case of Indirect Inguinal Hernia

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