case_images: PMC11750287_01
case_images: Physical examination and preoperative scrotal ultrasound of a child with hypospadias and polyorchidism: A. Preoperative condition of hypospadias in the patient. B. Two testes in the right scrotum. C. One testis in the left scrotum.
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case_images: Physical examination revealed an underdeveloped penis with the urethral opening located at the base of the ventral side near the scrotum, a markedly chordee and a split scrotal raphe (Fig. 1A).
case_images: Intraoperative findings in a child with hypospadias and polyorchidism. A. Two tandem testes on the right side during surgery. B. Atrophic testis and epididymal tissue on the left side during surgery. C-F. Harvesting of the dorsal penile flap and inverting sutures to form a new urethra during the Duckett procedure.
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case_images: After ligation of the bilateral tunica vaginalis, the right scrotum was incised and exploration of the inguinal region failed to reveal any other abnormal tissue, revealing two soy-sized testes in the right tunica vaginalis cavity connected in tandem by the tail of the epididymis (Fig. 2A). A rice-sized atrophic testicular-epididymal-like tissue observed in the left scrotum was excised (Fig. 2B). A pedicled transverse flap from the dorsal penile skin was harvested and sutured to the defect in the midline of the proximal urethra, and the flap was inverted and sutured to form the urethra (Fig. 2C-F).
case_images: Postoperative recovery in a child with hypospadias and polyorchidism. A. Postoperative surgical site of the penis and scrotum. B. Voiding status after catheter removal before discharge.
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case_images: Bilateral patent sheath, (V) cryptorchidism. Before discharge, the urethral surgical area healed well, and the patient was able to urinate normally after the catheter was removed (Fig. 3).
case_images: Four-month postoperative follow-up in a child with hypospadias and polyorchidism. A. Surgical site of the penis and scrotum at 4 months postoperatively. B. Ultrasound of the left scrotum at 4-month follow-up. C. Ultrasound of the right scrotum at 4-month follow-up.
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case_images: Four months after surgery, follow-up showed good recovery of the surgical area (Fig. 4A). Ultrasound re-examination indicated that both testes were in ideal positions, with visible blood flow signals within both testes (Fig. 4B and C).