Microsurgical testis-sparing surgery in small testicular masses: Seven years retrospective management and results

Stefani De Stefani, Gianmarco Isgrò, Virginia Varca, Annarita Pecchi, Giampaolo Bianchi, Giorgio Carmignani, Lorenzo E. Derchi, Salvatore Micali, Livia MacCio, Alchiede Simonato

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Abstract

Objective: To retrospectively evaluate the clinical outcomes of 20 patients diagnosed with a nonpalpable or small testicular mass (2 cm) at 2 academic urological department. Testis-sparing surgery (TSS) is currently performed routinely for the management of nonpalpable testicular masses. High reliability of frozen section examination (FSE) and high-frequency ultrasound (US) and the adoption of microsurgical techniques improved safety and feasibility of this technique. Methods: From January 2004 to March 2011, 23 patients underwent microsurgical TSS. An inguinal approach was performed in 22 cases and a suprapubic incision in one bilateral case. All procedures were performed with an operating microscope, with warm ischemia in 21 cases and cold ischemia in 2 cases. Intraoperative US was performed before opening the albuginea. Mean operative time was 89 minutes. Results: After mass excision, FSE was performed; only 2 seminomatous tumors were identified, and the remaining masses were benign lesions. After a mean follow-up >12 months, all patients are free of disease; no hypogonadism developed. Conclusions: TSS performed using an operating microscope allowed the preservation of testes for 21 patients diagnosed with small testicular and/or nonpalpable mass (

Original languageEnglish
Pages (from-to)858-862
Number of pages5
JournalUrology
Volume79
Issue number4
DOIs
Publication statusPublished - Apr 2012

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ASJC Scopus subject areas

  • Urology

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De Stefani, S., Isgrò, G., Varca, V., Pecchi, A., Bianchi, G., Carmignani, G., Derchi, L. E., Micali, S., MacCio, L., & Simonato, A. (2012). Microsurgical testis-sparing surgery in small testicular masses: Seven years retrospective management and results. Urology, 79(4), 858-862. https://doi.org/10.1016/j.urology.2011.12.039