Is it possible to have 3 testicles

In both sides, testicles were in the proximal inguinal canal and nor in the abdomen. While in our case, because of clinical finding and sonography confirmation, we did not render an abdominal MRI.

Laparoscopy is standard in abdominal nonpalpable testicles, but it could be omitted if sonography confirmed their inguinal presence [ 11 ]. It has been shown that along with surgery, neo-adjuvant human chorionic gonadotropin HCG therapy may induce and improve testis descending [ 12 ]. In this case, surgery was performed to diagnose and treat this case.

The patient needs to be monitored at different intervals. Rare cases should be handled carefully; particularly in patients with reported undescended testicles by ultrasound. During surgery, it is essential to note that more testicles may be found and we must search carefully. It is also advisable during orchiopexy, and all testes are mixed without separation to prevent damage to the epididymal system, sperm transfer, and the spermatozoa.

A unique case of Pentaorchidism. PubMed Article Google Scholar. Artul S, Habib G. Polyorchidism: two case reports and a review of the literature. J Med Case Rep. Polyorchidism: a three-case report and review of the literature. A rare case of polyorchidism: four testes. Pol J Radiol. Supernumerary testis: a case report and review of literature.

J Pediatr Surg. Polyorchidism: color Doppler ultrasonography and magnetic resonance imaging findings. Clin Imaging. Bergholz R, Wenke K. Polyorchidism: a meta-analysis. J Urol. Males' awareness of benign testicular disorders: an integrative review. Am J Mens Health. Nonsyndromic 46, XX testicular disorders of sex development. Seattle: University of Washington; Google Scholar. The diagnostic utility of combined diffusion-weighted imaging and conventional magnetic resonance imaging for detection and localization of non palpable undescended testes.

J Medical Imag Rad Oncol. Article Google Scholar. Selective use of laparoscopy in nonpalpable undescended testes. Urology Ann. Kucharski P, Niedzielski J. Neoadjuvant human chorionic gonadotropin hCG therapy may improve the position of undescended testis: a preliminary report. Polyorchidism: report of 3 cases and review of the literature. J Ultrasound Med. Pubmed citation 8. Supernumerary testis. Journal of radiology case reports. Related articles: Anatomy: Abdominopelvic.

Related articles: Pathology: Genitourinary. Promoted articles advertising. Figure 1: polyorchidism classification Figure 1: polyorchidism classification. Case 1 Case 1. Case 2: polyorchidism with torsion Case 2: polyorchidism with torsion. Case 3: two extrascrotal testes Case 3: two extrascrotal testes.

Case 4: polyorchidism Case 4: polyorchidism. Loading more images Close Please Note: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Loading Stack - 0 images remaining. By System:.

In this case report we want to present radiological features and assessment of a patient with four testicles. If the vascularity and echogenicity of the scrotal mass is similar with the normal testis parenchyma, multitestis should be considered.

It is very rare and to the best of our knowledge there have been only about cases reported. A year-old man admitted to the urology out-patient department with a complaint of a mass in the left scrotum. There was no remarkable urological history except for the mass. The patient was married and had two children, thus there was no infertility condition. The urological physical examination was unremarkable, except for the mass. After physical examination the patient was referred to the radiology clinic.

USG revealed two mass lesions in the left scrotum. One of them was in the back of the penis on the left side Lesion 1 , and the other was inferiorly to the left testis Lesion 2. The parenchymal echogenicity of those lesions was similar to that of normal testis parenchyma Figure 1 , except for scattered macro- and microlithiasis foci. Both lesions were well circumscribed. The vascularity of the lesions was similar to the normal testis parenchyma. The diagnosis was multitestis. Three testes were in the left scrotum and one was in the right.

There were some concomitant disorders accompanying multitestis. The disorders included: bilateral epididymal cysts, grade I varicocele on the right side and grade III varicocele on the left side.

The patient was managed with one-year period of follow-up. Vertical ultrasonography image of normal testis N and extra testis E. In this image the extra testis is situated inferiorly to the left testis. The scattered microlithiasis foci are seen as submilimetric echogenities. You said in your first post "Finally I turned 18" or something like this. Which showed a general excitement. Was you excited to show your private parts out? I know it's funny, but were you in general excited?

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