Polyorchidism during orchidopexy; A case report with review of literature

Assefa, Hiwote Girma; Sedeta, Assefa Mekonnen; Gebreselassie, Hana Abebe

doi:10.1016/j.eucr.2021.101750

Cited by 5 publications

(6 citation statements)

References 4 publications

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“…Most experts recommend a conservative approach to patients with supernumerary testes that had descended to the scrotum and been confirmed by imaging such as ultrasound or magnetic resonance imaging. Regular ultrasound follow-up is needed ( 4 ). If the undescended supernumerary testis was detected during surgical explorations accidentally, orchiectomy could be performed for Type 1 testes because of its uselessness in fertility ( 4 , 5 ).…”

Section: Discussionmentioning

confidence: 99%

“…Regular ultrasound follow-up is needed ( 4 ). If the undescended supernumerary testis was detected during surgical explorations accidentally, orchiectomy could be performed for Type 1 testes because of its uselessness in fertility ( 4 , 5 ). But for other types of polyorchidism, most experts believe that orchidopexy should be performed for the undescended supernumerary testis for its fertility potential.…”

Section: Discussionmentioning

confidence: 99%

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Case Report: Testicular Torsion in Unilateral Supernumerary Testis

Benzhang

2022

Front. Pediatr.

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Supernumerary testis (SNT), or polyorchidism, is a rare congenital anomaly of the genitourinary tract, described as the presence of more than two testicles. Testicular torsion (TT) in unilateral SNT is extremely rare. We report a case of unilateral SNT in a 16-year-old boy accompanied by TT, which was diagnosed preoperatively based on the outcomes of physical examination and ultrasound and confirmed intraoperatively. We opted for orchiectomy of this SNT because of the long-time hypoperfusion. And as for the normal testis, orchidopexy was performed. His clinical presentation subsided after surgery, and the patient was discharged 3 days later.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Case Report: Testicular Torsion in Unilateral Supernumerary Testis

Benzhang

2022

Front. Pediatr.

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“…The treatment of polyorchidism is still controversial and usually depends on the location of the testis, age, size of the testicle, and reproductive functionality. 3 Today, the presence of imaging study changed the way we treat polyorchidism. In absence of pain, we may consider conservative management with a straight ultrasound and MRI follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…5 Given how rare it is, polyorchidism requires a high degree of suspicion.There are two important classifications of polyorchidism, the embryological one of Leung and the vascular of Berglozs et al 6,7,11 The treatment of polyorchidism is controversial and usually depends on the location of the testis, age, size of the testicle, and reproductive potential. 3…”

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confidence: 99%

A rare case of polyorchidism in a 48-year-old man with inguinal hernia

Valente¹,

Ferreira²,

Ferreira³

et al. 2022

Int Surg J

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Polyorchidism is a rare congenital anomaly characterized by the presence of more than two testes. Triorchidism is the most common variant. Polyorchidism has been reported in around two hundred cases in the world to date. It is usually diagnosed incidentally in routine exams or surgery. It can be associated with undescended testis (40%), hernia (30%), and torsion (15%), among others. Given how rare it is, polyorchidism requires a high degree of suspicion. The exact aetiology of polyorchidism is unknown. The preservation of supernumerary testis has been controversial. Today, in the absence of pain, conservative management with a strict ultrasound and magnetic resonance imaging (MRI) follow-up is the most widely used approach. We present a case of a 48-year-old man who had a personal history of left cryptorchidism and came to our appointment with a bilateral inguinal hernia. During surgery for hernia repair, we found a supernumerary testis located on the left inguinal region with no epididymis or vas deferens. We opted for orchidopexy. In the other left testis, we did an orchidectomy due to the presence of a suspicious nodule. The histology was negative for neoplasia.

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“…Since triorchidism can be rather unlikely to occur, amplitude of other syndromes come to mind and rank the highest places in the differential diagnosis, leading to a misdiagnosis of the former. Amongst them, we may find varicocele, hydrocele, inguinal hernia, cryptorchidism, epididymitis, testicular neoplasm [3,6] to name only a few. In the current case report, we present the imaging findings in triorchidism along with the contribution of histopathological analysis to the diagnosis, without omitting to mention the treatment of choice.…”

Section: Introductionmentioning

confidence: 99%

Triorchidism in a Pediatric Patient: A Case Report and a Literature Review

2023

Ann Case Report

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Testicular duplication, supernumerary testis or most commonly known as polyorchidism constitutes an especially rare congenital anomaly of the genitourinary tract. We report a 10-year-old male patient presented to our clinic with a visible as well as palpable left scrotal mass. With the view to determining whether the surgical excision of the additional testis or its monitoring by imaging is more preferable, we took many factors into consideration, including patient's comorbidities, testicular biopsy's outcome as well as the classification of the extra testes. The diagnosis of the additional testis was confirmed by histopathology and underline the need to maintain a high index of suspicion.

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Polyorchidism during orchidopexy; A case report with review of literature

Cited by 5 publications

References 4 publications

Case Report: Testicular Torsion in Unilateral Supernumerary Testis

Case Report: Testicular Torsion in Unilateral Supernumerary Testis

A rare case of polyorchidism in a 48-year-old man with inguinal hernia

Triorchidism in a Pediatric Patient: A Case Report and a Literature Review

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