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Bizarre Sex Organ: A Male with More Than Two Testicles

We all know for a fact that a normal man has two testicles. Have you ever learned or heard of a man with more than two testicles?

 This weird congenital disorder is called Polyorchidism. A man who has Polyorchidism is known as a Polyorchid.

 

What is the ratio of occurrence of this medical condition?

This medical condition is very rare with less than 200 cases reported in medical literature. A male person with this condition is usually diagnosed by means of ultrasound.

What is the commonest form of Polyorchidism?

The most common form is Triorchidism, or Tritestes, where three testicles are present. The condition is usually asymptomatic which means a patient is a carrier for a disease or infection but experiences no symptoms.

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There are two primary forms of Polyorchidism: Type A and Type B.

Type A: The supernumerary testicle is connected to a vas deferens which is also called ductus deferens. These testicles are usually reproductively functional. Type A has three subdivisions:

Type A1: Complete duplication of the testicle, epididymis and vas deferens.

Type A2: The supernumerary testicle has its own epididymis and shares a vas deferens.

Type A3: The supernumerary testicle shares the epididymis and the vas deferens of the other testicles.

Type B: The supernumerary testicle is not connected to a vas deferens and is therefore not reproductively functional. Type B has two subdivisions:

Type B1: The supernumerary testicle has its own epididymis and vas deferens but is not connected to a vas deferens

Type B2: The supernumerary testicle consists only of testicular tissue.

Type A3 is the most common form of polyorchidism, and types A2 and A3 together account for more than 90% of cases. In 65% of cases, the supernumerary testicle is found in the left scrotal sac.

What are the complications of Polyorchidism?

Most cases of polyorchidism are asymptomatic, and are discovered incidentally, in the course of treating another condition. In the majority of cases, the supernumerary testicle is found in the scrotum.

Polyorchidism can occur in conjunction with cryptorchidism (the absence of one or both testes from the scrotum), where the supernumerary testicle is found elsewhere in the body. It can also occur in conjunction with infertility, inguinal hernia, hydrocel testis, varicocele, testicular torsion and epididy

Are there available medical treatments for this bizarre medical condition?

Because Polyorchidism is extremely rare, there is no standard treatment for the condition. In the past, it was common practice to remove the supernumerary testicle.

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