Abstract

Polyorchidism is a rare anomaly of the urogenital system. It can be diagnosed preoperatively but more commonly peroperatively. The most important fact in polyorchidism is to decide whether to perform orcidopexy or orchiectomy during the operation.

In this study, a 7-year-old boy who was operated because of a right inguinal hernia and in whom an intraabdominally localized polyorchidic testis that was protruding towards the internal inguinal ring during the exploration was observed. Preoperative physical examination of the patient revealed that both testes were localized in the scrotum and were normal in size. The polyorchidic testis that was diagnosed during the operation was smaller than normal and very highly localized. Therefore, orchiectomy was performed. One year follow-up of the patient was uneventful.

As a result, the surgeon’s observation and experience are very important in deciding to perform orchiopexy or orchiectomy. Hypoplasic testis can be removed, considering their high localization. If there is a suspicious mass and and a risk of malignancy during histopathologic examination, orchiectomy must be performed.