Tatlı Duygu, Numanoglu Kemal Varım
Department of Pediatric Surgery, Faculty of Medicine, Bülent Ecevit University, Kozlu, 67600 Zonguldak, Turkey.
Case Rep Urol. 2013;2013:917050. doi: 10.1155/2013/917050. Epub 2013 Aug 7.
Polyorchidism is defined as the presence of more than two testes. Triorchidism is the most frequent presentation. This anomaly is extremely rare, and approximately a hundred cases were described in the literature. We report a case of triorchidism presenting with inguinal hernia and penoscrotal hypospadias in a three-year-old male and briefly discuss current management of polyorchidism. Management remains controversial especially if there is no associated abnormality identified. The absence of any concomitant disorder and if testicular tumour can be ruled out by sonography or magnetic resonance imaging, surgical exploration with biopsy could be unnecessary. On the contrary, surgical exploration has the advantage of allowing for fixation of the testes to prevent torsion and determination of testicular outflow tracts and estimating reproductive capacity.
多睾症的定义为睾丸数目超过两个。三睾症是最常见的表现形式。这种异常极为罕见，文献中报道了约100例病例。我们报告一例3岁男性三睾症合并腹股沟疝和阴茎阴囊型尿道下裂的病例，并简要讨论多睾症的当前治疗方法。治疗仍存在争议，尤其是在未发现相关异常的情况下。如果没有任何伴随疾病，且通过超声或磁共振成像可排除睾丸肿瘤，那么可能无需进行手术探查及活检。相反，手术探查的优点是可以固定睾丸以防止扭转，确定睾丸输出管道并评估生殖能力。
