학술논문

Microsurgical Excision of a Supernumerary Testis: A Novel Technique to Avoid Iatrogenic Injury to the Adjacent Testis.
Document Type
Journal Article
Source
Urology. Nov2022, Vol. 169, p241-244. 4p.
Subject
*IATROGENIC diseases
*TESTIS
*TESTIS injuries
*VAS deferens
*TESTIS physiology
*TESTICULAR diseases
*MICROSURGERY
*EPIDIDYMIS
TESTIS surgery
Language
ISSN
0090-4295
Abstract
Introduction: In this report, we discuss the evaluation of a patient with chronic scrotal pain found to have a supernumerary testis (SNT), as well as a novel microsurgical approach to safely removing this testis.Technical Considerations: To avoid any iatrogenic injury to the adjacent testis, we used an operating microscope to visualize the cord structures of both testes and carefully remove the smaller, atrophic, supernumerary testis. The surgery was successfully completed without any intraoperative or postoperative complications. Total operative time was 2 hours. While the patient had not yet attempted to conceive at the time of follow-up, given our careful dissection, we expect him to have normal testicular function and fertility in the future.Conclusion: This case demonstrates a novel microsurgical approach to excising a supernumerary testis that avoids injury to the blood supply, epididymis, and vas deferens associated with the normal testis. [ABSTRACT FROM AUTHOR]