TY - JOUR
T1 - Microsurgical identification and excision of an intratesticular mass
AU - Sávio, Luís Felipe
AU - Prakash, Nachiketh Soodana
AU - Clavijo, Raul
AU - Kryvenko, Oleksandr N.
AU - Ramasamy, Ranjith
N1 - Publisher Copyright:
© 2017 American Society for Reproductive Medicine
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2017/4/1
Y1 - 2017/4/1
N2 - Objective To demonstrate a step-by-step approach to microsurgical partial orchiectomy (PO) in a man with a small intratesticular mass. Design Video presentation. Setting University hospital. Patient(s) A 22-year-old man with right testicular pain and swelling found to have a small, nonpalpable 8-mm hypoechoic testicular mass on ultrasound. Tumor markers were negative. Intervention(s) Partial orchiectomy. Main Outcome Measure(s) Intraoperative technique with commentary highlighting tips for a successful resection. Result(s) This video provides a brief introduction to and indications for PO as an alternative to radical orchiectomy. We describe the microsurgical approach to PO through an inguinal incision for the resection of a small intratesticular mass. Conclusion(s) Microsurgical PO should be considered for select patients as an alternative to radical orchiectomy. The microscopic approach provides a more precise resection with limited collateral damage to surrounding parenchyma.
AB - Objective To demonstrate a step-by-step approach to microsurgical partial orchiectomy (PO) in a man with a small intratesticular mass. Design Video presentation. Setting University hospital. Patient(s) A 22-year-old man with right testicular pain and swelling found to have a small, nonpalpable 8-mm hypoechoic testicular mass on ultrasound. Tumor markers were negative. Intervention(s) Partial orchiectomy. Main Outcome Measure(s) Intraoperative technique with commentary highlighting tips for a successful resection. Result(s) This video provides a brief introduction to and indications for PO as an alternative to radical orchiectomy. We describe the microsurgical approach to PO through an inguinal incision for the resection of a small intratesticular mass. Conclusion(s) Microsurgical PO should be considered for select patients as an alternative to radical orchiectomy. The microscopic approach provides a more precise resection with limited collateral damage to surrounding parenchyma.
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U2 - 10.1016/j.fertnstert.2017.01.012
DO - 10.1016/j.fertnstert.2017.01.012
M3 - Article
C2 - 28238493
AN - SCOPUS:85013392880
VL - 107
SP - e16
JO - Fertility and Sterility
JF - Fertility and Sterility
SN - 0015-0282
IS - 4
ER -