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A Case of Conservative Management of Intra-abdominal Polyorchidism in a Child

Luciano Arena1, Tatiana Szklarz1, Macarena Costabel1

  • 1Pediatric Surgery Service, Hospital Provincial Neuquén, Neuquén. Argentina.

Urology
|March 22, 2023
PubMed

Insights

Polyorchidism, having more than two testes, is rare. This case study shows successful surgical preservation of duplicated testes in a young boy, preventing future testicular loss.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Reproductive Medicine

Background:

  • Polyorchidism is a rare congenital condition characterized by the presence of more than two testes.
  • Undescended testes and associated anomalies are common in patients with polyorchidism.
  • Early diagnosis and management are crucial for optimal outcomes.

Observation:

  • A 7-year-old male (46 XY) presented with multiple congenital abnormalities and nonpalpable bilateral gonads.
  • Diagnostic laparoscopy at 8 months revealed duplicated right testes and persistent left Müllerian duct structures.
  • The patient underwent a two-stage Fowler-Stephens orchidopexy for both testes.

Findings:

  • Postoperative ultrasonography confirmed the successful repositioning of the right testes.
  • The preserved testes measured 0.15 cc and 0.28 cc, indicating viability.
  • Surgical intervention aimed at preserving testicular tissue was successful.

Implications:

  • Testicular preservation in cases of polyorchidism may prevent early anorchia (absence of testes).
  • This approach highlights the importance of surgical intervention for congenital testicular anomalies.
  • Further research is warranted to establish long-term outcomes of testicular preservation in polyorchidism.

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