Description

Leung classified polyorchidism (supernumerary testes) based on the site of embryological division.


Patient selection: male with polyorchidism

 

Type

Feature of Supernumerary Testes

1

no accompanying epididymis or vas

2

shared vas with regular testis

3

shared epididymis and vas with regular testis

4

complete duplication of testis, epididymis, and vas

 

Type 3 is the most common.

 

75% of supernumerary testes are on the left side (since the left side is more prone to division embryologically).

 

Associated anomalies:

(1) inguinal hernia

(2) maldescent of testis


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