Pediatric Surgery Service, Hospital Provincial Neuquén, Neuquén. Argentina.
Pediatric Surgery Service, Hospital Provincial Neuquén, Neuquén. Argentina.
Urology. 2023 Jun;176:187-189. doi: 10.1016/j.urology.2023.03.005. Epub 2023 Mar 21.
Polyorchidism is defined as the presence of 2 or more testes on the same side. A 7-year-old boy (46 XY) with multiple congenital abnormalities and nonpalpable bilateral gonads is presented. He underwent diagnostic laparoscopic surgery at 8 months old which revealed duplicated right testes and contralateral presence of persistent left Mullerian duct structures. A successful Fowler-Stephens orchidopexy in 2 stages was performed on both testicles. Postoperative ultrasonography showed orthotopic right testes of 0.15 and 0.28 cc. We propose testicular preservation in these patients to prevent early anorchia.
多睾症定义为同一侧存在 2 个或更多睾丸。现介绍 1 例 7 岁（46，XY）男孩，存在多种先天性异常且双侧隐睾不可触及。该男孩 8 月龄时接受了诊断性腹腔镜手术，结果显示右侧睾丸重复且对侧存在持续的左侧苗勒管结构。双侧睾丸均成功施行 2 期 Fowler-Stephens 睾丸固定术。术后超声显示右侧睾丸位置正常，体积分别为 0.15 和 0.28 立方厘米。我们建议对这些患者进行睾丸保留，以预防早期隐睾。
