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A Unique Case of Intraabdominal Polyorchidism: A Case Study
Javier Otero1, Natalie Ben-Yakar2, Biruk Alemayehu3
1Department of Surgery, Monmouth Medical Center, Barnabas Health, Long Branch, NJ 07740, USA.
Case Reports in Urology
|October 11, 2016
Summary
This case study reports the first known instance of polyorchidism with three supernumerary testes (SNT) in a male infant under one year old. The condition involved intra-abdominal testes on the right side, highlighting a rare congenital anomaly.
Area of Science:
- Pediatric Surgery
- Urology
- Congenital Anomalies
Background:
- Polyorchidism, or supernumerary testes (SNT), is a rare congenital condition characterized by the presence of more than two testicles.
- Existing literature details various presentations of this anomaly, but specific forms remain undescribed.
Purpose of the Study:
- To document a previously undescribed presentation of polyorchidism.
- To contribute to the collective knowledge in pediatric, general, and urologic surgery regarding this rare condition.
Main Methods:
- Case study of a nine-month-old boy presenting with an impalpable right testis and phimosis.
- Surgical exploration revealed polyorchidism with three masses on the right side, appearing as undescended testes.
Main Results:
- Identification of polyorchidism with three supernumerary testes (SNT) on the right side.
- The testes were located intra-abdominally in a patient less than one year of age.
Conclusions:
- This case represents the first documented instance of polyorchidism with three intra-abdominal SNT in the right side of a male infant under one year old.
- The study emphasizes the importance of meticulous surgical exploration and potential orchiopexy to mitigate risks of torsion, malignancy, and infertility in polyorchidism cases.

