A sure-fire winner at parties, and with the right PR, probably a money-spinner as well. A friend of a friend I know has actually got three testicles. He discovered the third one by "accident" one day and went to see his GP. The GP said there was nothing to done and his best option was just to tell everyone.
So, he goes out of the surgery, walks up to this stranger and says: "Did you know that between us we've got five testicles? And the stranger looks at him sympathetically and says: "Oh. I'm really sorry to hear you've only got one!
Skip to main content. Post to forum. Have you ever had surgery in or near your urinary tract, or surgery that required the insertion of a catheter? Have you had a groin injury?
What you can do in the meantime While you wait for your appointment, avoid sexual contact that could put your partner at risk of contracting an STI, including sexual intercourse, oral sex and any skin-to-skin contact with your genitals. After that, your doctor might recommend: STI screening. A narrow swab is inserted into the end of your penis to obtain a sample of discharge from your urethra.
The sample is checked in the laboratory for gonorrhea and chlamydia. Urine and blood tests. Samples of your urine and blood are analyzed for abnormalities. This imaging test might be used to rule out testicular torsion. Ultrasound with color Doppler can determine if the blood flow to your testicles is lower than normal — indicating torsion — or higher than normal, which helps confirm the diagnosis of epididymitis.
Surgery If an abscess has formed, you might need surgery to drain it. Epididymitis usually involves considerable pain. To ease your discomfort: Rest in bed Lie down so that your scrotum is elevated Apply cold packs to your scrotum as tolerated Wear an athletic supporter Avoid lifting heavy objects Avoid sexual intercourse until your infection has cleared To help protect against STIs that can cause epididymitis practice safe sex. Like this: Like Loading Why do girls get bladder infections more frequently than boys?
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Name required. Follow Following. Northeast Georgia Urological Associates Join 1, other followers. Sign me up. Already have a WordPress. Log in now. Loading Comments Email Required Name Required Website. The aetiology is still unclear. It is thought to be an accidental division of the genital ridge before 8th week of gestation. Although there are many embryological theories in the literature, none are sufficient to explain the pathogenesis of polyorchidism alone [ 7 ].
Our report showed that there were two right testicles with one common epididymis and one left testis without epididymis. The most common disorders of the male genital tract, which are diagnosed by clinical examination and sonography, are undescended testis, hydrocele, hypospadias, inguinal hernia, micropenis or penis enlargement and testicular defect.
Treatment is often done through surgery [ 8 , 9 ]. The presence of five testes, in this case, was one of the rare disorders of the genital tract in children.
Aetiology and mechanism of polyorchidism are not entirely defined. Therefore, further studies are recommended to investigate the factors affecting these disorders. The case with five testes is rare and undesirable in children. 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. Fixation was performed on both left-sided testicles and the right-sided testicle. The patient recovered uneventfully following the operation. Polyorchidism supernumerary testis is a rare congenital condition in which more than two testes develop within the genital tract.
There are approximately cases reported in the literature to date. During regular embryological formation the testes develop from the genital ridge on the medial aspect of the mesonephric duct whilst the epididymis and vas arise from the mesonephric duct itself.
Although the exact aetiology of polyorchidism is unclear, it is thought that a division of the genital ridge and mesonephric duct allows for separate distinct testes to develop.
Variation in polyorchidism is thought to arise from the position and orientation of the division. Leung described a classification system based on the site of likely embryological division Type 1—4. In type 2, a common vas exists but the supernumerary testis has its own vas. Type 3 has a shared epididymis and vas, whilst type 4 displays a complete duplication of the testes, epididymis and vas.
The most common form of cryptorchidism Type 3 involves only the genital ridge and hence both testes share a common epididymis and vas. Cryptorchidism is the most important risk factor for malignancy in a supernumerary testis, although malignancy can occur regardless of position.
The most common presenting symptom of testicular torsion in polyorchidism is pain. More often the torsion occurs in the supernumerary testis as this is thought to be more mobile. This is contrasted in the presented case where the non-accessory testis underwent torsion. Management of uncomplicated polyorchidism is most commonly surveillance as all but those without a vas deferens or epididymis Type 1 may contribute to fertility.
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