Nonfunctional supernumerary testis in a 26-year-old man with orchalgia

Area of Science:

• Urology
• Reproductive Medicine
• Medical Case Reports

Background:

• Polyorchidism is an exceptionally rare congenital anomaly.
• Fewer than 100 cases of polyorchidism have been documented globally.
• Supernumerary testes are often asymptomatic, discovered incidentally or as scrotal masses.

Observation:

• A male patient presented with symptomatic left scrotal pain.
• Diagnostic imaging revealed an additional, nonfunctional testis within the left hemiscrotum.
• This case highlights a symptomatic presentation of polyorchidism.

Findings:

• Histological confirmation of a supernumerary testis was obtained.
• The supernumerary testis was found to be nonfunctional, lacking sperm production capability.
• Over half of documented supernumerary testes show potential for sperm production, contrasting with this case.

Implications:

• Symptomatic presentations of polyorchidism, though rare, require thorough investigation.
• Understanding the functional status of supernumerary testes is crucial for patient management.
• This case contributes to the limited literature on symptomatic and nonfunctional polyorchidism.