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Abstract

We appreciate the editorial comment on our article. The comment highlighted the 2 most important aspects in organ sparing surgery, cancer control and preservation of function of the native organ. With regard to these aspects, testicular-sparing surgery (TSS) draws comparison with nephron-sparing surgery for renal tumors. Both surgeries aim for complete tumor resection while preserving the functions of the remaining organs, but while nephron-sparing surgery has evolved over many years and is now considered a standard procedure for small renal tumors, TSS is an evolving surgical technique that is not yet widely practiced. Editorial CommentUrologyVol. 81Issue 4PreviewThe authors describe an interesting technique for testicular preservation surgery using a hook wire localization method in conjunction with intraoperative Doppler imaging to remove a testicular mass. A similar technique using placement of a comparable needle adjacent to the tumor was reported by Hallak et al (referenced above) but the current report involves needle deployment directly into the testicular lesion. Both reports advocate cold ischemia resection, but the current article does not use concurrent frozen section assessment of tumor margins. Full-Text PDF