A case of conservative management of intra-abdominal polyorchidism in a child.

Polyorchidism is defined as the presence of two or more testes on the same side. A 7-year-old boy (46 XY) with multiple congenital abnormalities and non-palpable bilateral gonads is presented. He underwent diagnostic laparoscopic surgery at eight months old which revealed duplicated right testes and contralateral presence of persistent left Mullerian duct structures. A successful Fowler-Stephens orchidopexy in two stages was performed on both testicles. Postoperative ultrasonography showed orthotopic right testes of 0.15 and 0.28 cc. We propose testicular preservation in these patients to prevent early anorchia.