Microsurgical identification and excision of an intratesticular mass.
作者信息
Sávio Luís Felipe, Prakash Nachiketh Soodana, Clavijo Raul, Kryvenko Oleksandr N, Ramasamy Ranjith
机构信息
Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.
Department of Urology, University of Miami Miller School of Medicine, Miami, Florida; Department of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, Florida.
出版信息
Fertil Steril. 2017 Apr;107(4):e16. doi: 10.1016/j.fertnstert.2017.01.012. Epub 2017 Feb 24.
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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