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ArticleCase reports in urology2025

Conservative Management of Intrascrotal Polyorchidism in a 14-Year-Old Boy: A Case Report and Review of the Current Literature.

Panagiotis Nikolinakos, Abhisekh Chatterjee, Efstratios Christianakis, Ioannis Alexandrou, Nikolaos Chatzikrachtis, Elisavet Kotsi, Viktor Alargkof, Ivo Donkov, Samuel Bishara, Nikolaos Zavras and 1 more

Abstract readCase Reports
In one paragraph

Article in Case reports in urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Panagiotis NikolinakosDepartment of Urology, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0001-8427-7223
Abhisekh ChatterjeeImperial College School of Medicine, Imperial College London, London, UK.ORCID https://orcid.org/0009-0002-6835-5900
Efstratios ChristianakisDepartment of Pediatric Surgery, Penteli Children's Hospital, Athens, Greece.
Ioannis AlexandrouDepartment of Pediatric Surgery, Penteli Children's Hospital, Athens, Greece.ORCID https://orcid.org/0009-0004-0268-321X
Nikolaos ChatzikrachtisDepartment of Urology, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0009-0004-5590-1671
Elisavet KotsiDepartment of Pediatrics, Penteli Children's Hospital, Athens, Greece.ORCID https://orcid.org/0000-0002-0450-7875
Viktor AlargkofDepartment of Urology, University Hospital Basel, Basel, Switzerland.ORCID https://orcid.org/0000-0002-2922-7431
Ivo DonkovDepartment of Urology, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0009-0007-5669-8734
Samuel BisharaDepartment of Urology, West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.ORCID https://orcid.org/0000-0002-3279-9932
Nikolaos ZavrasDepartment of Pediatric Surgery, School of Medicine, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-2546-4533
Joseph M NorrisUCL Division of Surgery & Interventional Science, University College London, London, UK.ORCID https://orcid.org/0000-0003-2294-0303

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polyorchidism, or supernumerary testes (SNTs), is a rare congenital condition, management of which remains debated, particularly in paediatric cases with other concomitant features. We report a case of intrascrotal polyorchidism in a 14-year-old boy managed surgically due to parental preference and the need for histological confirmation. The patient presented with a 2-week history of painless heaviness in the scrotum. Physical examination and Doppler ultrasonography revealed a 1.8 cm mass fused to the inferior pole of the left testicle with associated Grade 1 varicocele, hydrocele and testicular appendix. Although MRI of the scrotum was initially offered, the family declined in favour of timely histological confirmation. Surgical exploration confirmed a fused supernumerary testicle and a biopsy showed normal spermatogenesis; this was consistent with Type A3 triorchidism. The patient had no complications or recurrence of symptoms at 12-month follow-up. This case highlights the use of surgical exploration in selected intrascrotal polyorchidism cases where imaging can be inconclusive or histological confirmation is required. Parental concerns and long-term reassurance may also reasonably influence management decisions.

Indexed as

paediatric surgerypolyorchidismtriorchidismurological surgeryurology

Identifiers

PMID40964678
PMCPMC12440661

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.