Triorchidism: a rare genital abnormality

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Dear Editor,rnWe would like to present a rare case ofpolyorchidism.Polyorchidism is an unusual abnormality of the genital tract and until date,there are approximately 178 case reports of polyorchidism in the literature.1 However,the most of patients are asymptomatic and usually diagnosed incidentally.Some may present as inguinal hernia (30%),maldescended testis (15% to 30%),testicular torsion (13%) and hydrocele (9%),varicocele (1%),hypospadias (<1%),anomalous urogenital union (<1%),and malignancy (<1%).2 Management of polyorchidism is still controversial.Important factors of polyorchidism management are testis location,size and anatomical organization of the testicular drainage system and the age of the patient.rnA 28-year-old single Turkish man presented to our clinic with 12 years history of a small palpable lump in the left hemi-scrotum.There were no other urological and general medical symptoms or significant past medical history.Physical examination was normal with no palpable mass on abdomen wall and no palpable inguinal herniae.Scrotal examination revealed a normal right testis and scrotal content,but on the left-side there were palpated two mass in similar size.It was difficult to make a distinction between the normal testis and the mass because of their similar consistency and size.They were separate testis and had two epididymis and two vas deferens.In laboratory findings such as human chorionic gonadotropin and α-fetoprotein and lactate dehidrogenase were in normal range.
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