Polyorchidism is a very rare congenital anomaly, which is defined as having more than 2 testicles in a human male. To date, there are only a number of cases reported worldwide and most of them are published as case reports. Most cases of polyorchidism are associated with other male genitourinary anomalies such as varicoceles, hydroceles, inguinal hernias, and testicular malignancies. Even much more rarer are accessory spleens located intrascrotally, with only a handful of case reports in the last 80 years. Reported here is a case of a 33-year old male presenting with symptoms of intermittent scrotal pain for 2 years and extratesticular mass on ultrasound. Surgical management for this patient was done, removing one of the accessory testicles. Histopathology showed as an accessory spleen. Since this is a rare occurrence, the authors aimed to present splenunculus as a differential for patients with polyorchidism.

Human ; Male ; Adult: 25-44 Yrs Old

Presented here is a cases of a 12-year old female patient who was ran over by a reaper. After a comprehensive evaluation, she was advised to undergo transvesical subtrigonal buccal mucosa graft inlay for her almost completely obliterated bladder neck contracture. Such a procedure proved to be a viable option for the patient’s bladder neck reconstruction.

Human ; Female ; Child: 6-12 Yrs Old ; Mouth Mucosa ; Urinary Bladder