Department of Urology, Weill Cornell Medicine, New York, NY.
Department of Urology, Weill Cornell Medicine, New York, NY.
Urology. 2022 Nov;169:241-244. doi: 10.1016/j.urology.2022.06.028. Epub 2022 Jul 6.
In this report, we discuss the evaluation of a patient with chronic scrotal pain found to have a supernumerary testis (SNT), as well as a novel microsurgical approach to safely removing this testis.
To avoid any iatrogenic injury to the adjacent testis, we used an operating microscope to visualize the cord structures of both testes and carefully remove the smaller, atrophic, supernumerary testis. The surgery was successfully completed without any intraoperative or postoperative complications. Total operative time was 2 hours. While the patient had not yet attempted to conceive at the time of follow-up, given our careful dissection, we expect him to have normal testicular function and fertility in the future.
This case demonstrates a novel microsurgical approach to excising a supernumerary testis that avoids injury to the blood supply, epididymis, and vas deferens associated with the normal testis.
在本报告中，我们讨论了一名慢性阴囊疼痛患者的评估，该患者被发现有额外睾丸（SNT），以及一种安全切除该睾丸的新的显微外科方法。
为避免对邻近睾丸造成任何医源性损伤，我们使用手术显微镜来可视化两个睾丸的精索结构，并小心地切除较小的、萎缩的额外睾丸。手术在没有任何术中或术后并发症的情况下成功完成。总手术时间为 2 小时。虽然在随访时患者尚未尝试怀孕，但鉴于我们的仔细解剖，我们预计他将来会有正常的睾丸功能和生育能力。
本病例展示了一种新的显微外科方法来切除额外睾丸，可避免与正常睾丸相关的血液供应、附睾和输精管损伤。
