Microsurgical identification and excision of an intratesticular mass

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.