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CURRENT ISSUECHIRURGIA

A Journal on Surgery


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CASE REPORTS  


Chirurgia 2016 December;29(6):207-9

language: English

Management of a rare genitourinary anomaly: polyorchidism

Mehmet G. SÖNMEZ 1, İnanç GÜVENÇ 2, Aydın ASLAN 2, Elif GÜNAYDIN 2, Cengiz KARA 1

1 Department of Urology, Medical Park Ankara Hospital, Ankara, Turkey; 2 Department of Radiology, Medical Park Ankara Hospital, Ankara, Turkey


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Polyorchidism is a very rare genitourinary anomaly defined with the presence of more than two testicles. Our aim is to provide information in the light of current literature on managing the course of polyorchidism by sharing the rare triorchidism case. Scrotal left supernumerical testicle (triorchidism) was detected in a 30-year-old male patient who applied with painless left scrotal mass diagnosed with Doppler USG and confirmed with MRI and the patient was followed-up regularly. In conclusion, here are no certain rules on managing polyorchidism. Although only ultrasonography is satisfactory for the diagnosis in many cases, MRI may provide additional information in complicated cases. If there are no significant anomalies accompanying, it should be followed up at least two times in a year with USG conservatively and in case of cryptorchidism, an accompanying disease, testicle torsion and testicular malignity, surgical treatment (orchiectomy) should be done.

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