Testicular tumorectomy: a new algorithm

Introduction & Objectives: There is still no consensus on the role and indications of organ-surgery in the treatment of testicular tumors. Aim of the study is to define a new algorithm in the diagnosis/treatment of testicular masses. Material & Methods: 46pts with testicular masses underwent immediate orchiectomy (24) or tumorectomy (22). These 22pts, object of our study, (mean age 32yrs, range:9-60), had negative markers and were referred for infertility (15pts) or pain/palpable nodule (7pts). 4pts had a solitary testis. Ultrasounds showed 4-15mm(mean:7mm) hypoechoic (18pts) or hyperechoic (4pts) lesions. 12 nodules were palpable. Surgical procedure was derived from microdissection TESE with cord clamping, clam-opening of the testis at the level of the mass, blunt dissection af testicular parenchyma and complete excision af nodule for immediate histological examination. 18 procedures were performed with microsurgical techinique.