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Year : 1999  |  Volume : 15  |  Issue : 1  |  Page : 58-62

Diagnostic and therapeutic considerations in polyorchidism : a clinical curiosity in urology.


Department of Urology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow

Correspondence Address:
A Mandhani
Department of Urology and Renal Transplantation, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow

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Source of Support: None, Conflict of Interest: None


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We hereby report a case of polyorchidism, which is a rare clinical entity (only 85 cases having been reported till date). The diagnosis of this condition, especially the role of ultrasonography and the management guidelines are presented along with a detailed review of its embryogenesis and the associated clinical anomalies. Polyorchidism is a rare congenital anomaly of testicular development and results from a division or duplication of the genital ridge. Majority of the cases show the epididymis of the supernumerary testis draining into that of the normal testis. Various anomalies are often associated with this condition. Ultrasonography is a useful tool in the diagnosis of polyorchidism. All supernumerary testes in ectopic sites should be excised to obviate malignant degeneration. Small atrophic supernumerary testes should be excised even if they are normally located. A supernumerary testis of a normal size should undergo ochiopexy to avoid torsion.


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