A case of Polyorchidism: Ultrasound
Polyorchidism is a rare congenital anomaly defined by the presence of more than two testes, most commonly triorchidism.
The supernumerary testis is usually located in the scrotum and often on the left side.
On ultrasound, the key diagnostic feature is identification of an additional testicular structure with echogenicity and texture identical to the normal testicular parenchyma.
Upon Color Doppler interrogation, it typically demonstrates preserved vascularity, helping differentiate polyorchidism from epididymal masses or neoplasms.
Although most cases are asymptomatic and discovered incidentally, polyorchidism is clinically relevant due to its association with complications such as torsion, inguinal hernia, and a slightly increased risk of malignancy.
Accurate sonographic recognition is therefore essential to avoid unnecessary surgery and to guide appropriate follow up.
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BipoLEP for Mega Prostates
– No post-operative irrigation
– Same-day discharge
– Integrated bladder pressure sensor for enhanced safety & faster Morcellation
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@uwurology@Endo_Society@jl_kwok discusses tips and tricks for ureteroscopic suction
🛑Don't advance sheath without obturator when slips out of UPJ
🫰Stabilize sheath when withdrawing fragments
see pics for more tips
@Endo_Society#WCET25
In 427 days, the World Congress of Endourology and Uro-Technology returns to South America for the first time in a quarter-century... 🌎
📣Announcing the 43rd WCET in Buenos Aires hosted by @BernardoNor9
🗓️9-13 November 2026
🇦🇷 We look forward to seeing you in Argentina! #WCET26
Luminicencia negativa
Pero temperatura indectatable
No rekiere antibiótico. Ni antisépticos
Pero si tadafil y elaborar el conut
X eso el dominate
Es la escala más completa para valorar heridas
Yesterday we enucleated 126 grams of tissue in 58 minutes... ...with a 15W holmium laser. The high-power laser was not available. EEP was always by our side, we just didn't know it. @so_uro#HOLEP#BPH
@un_tal_urologo Yo si lo específico en las solicitudes precisamente porque los laboratorios son bien necios y luego el paciente es el que la sufre dando vueltas porque no se la quieren hacer, son un dolor de cabeza los laboratorios
While @FCAFigueiredo is trying to miniaturise instruments for HoLEP, Dr. Gozzi (the inventor of the transobturator male incontinence sling) is trying to make them larger to facilitate suprapubic resection of the prostate in big chunks...with a 42 F resectoscope!
En bloc #HoLEP & early apical release in small prostate with #CyberHo150 from @quanta_system at @clinicaindisa
👀 “The Waterfalls” sign at the bladder neck
Watch “the full unedited video” on https://t.co/K64VfAdhLx
Highlights:
☑️ Empty bladder = better anatomical references in small prostates during early apical release
☑️ Excellent dissection using Virtual Basket laser pulse modulation
☑️ Size-independent technique
“The Waterfalls Sign”: the appearance of vertical fibers represents a valuable anatomical reference during the dissection of the bladder neck, indicating that we are close to entering the bladder, as described by @fgomsan
#AEEP #HoLEP
@dr_ocastillo@LucaMartinel@UCencomex@Mohamedendourol@sbinhamrii@FCAFigueiredo@MSGONZALEZURO@PabloNContreras@ThiagoHotaUro @GoumasUrologia @moisessocarras