Zero-ischemia testis-sparing surgery for probably benign pediatric testicular tumors
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Read the article on link.springer.com ↗Article · Mar 2021 · 1 min read
In brief
In brief
This study describes a zero-ischemia approach to testis-sparing surgery in pediatric patients with likely benign testicular tumors. The technique aims to prevent ischemia-induced testicular damage and preserve fertility, particularly in infants and prepubertal children whose spermatic cord elements are especially vulnerable to injury.
Written by the GCMD Library team from the article.
Abstract
Permanent ischemia-induced testicular damage may occur as early as 30 min in prepupertal rats. With the goal of potentially enhancing testicular function and fertility preservation, we performed testis-sparing surgery (TSS) without ischemia for testicular lesions in select children with negative markers and high likelihood of benignity on ultrasonography. Preliminary experience suggests that off-clamp TSS should be more liberally encouraged, especially in infants and prepubertal children, given their particularly vulnerable spermatic cord elements.