The presence of extra testes is rare. It may be first detected if there is torsion of the testis.
Clinical features:
(1) one or more extra testes
(2) torsion of an extra testis
Triorchidism refers to the presence of 3 testes (1 extra)
The extra testis may be resected:
(1) if there has been poor perfusion
(2) if there is concern about malignant transformation)
Some surgeons perform orchiopexy on all remaining testes to prevent future torsion.