V10-11 TIPS AND TRICKS FOR TESTIS SPARING SURGICAL TECHNIQUE

Abstract

You have accessJournal of UrologyCME1 Apr 2023V10-11 TIPS AND TRICKS FOR TESTIS SPARING SURGICAL TECHNIQUE Silvia Altomare, Gabriele Tulone, Cristina Minasola, Arjan Bishqemi, Antonio La Rocca, Rosa Giaimo, Nicola Pavan, and Alchiede Simonato Silvia AltomareSilvia Altomare More articles by this author , Gabriele TuloneGabriele Tulone More articles by this author , Cristina MinasolaCristina Minasola More articles by this author , Arjan BishqemiArjan Bishqemi More articles by this author , Antonio La RoccaAntonio La Rocca More articles by this author , Rosa GiaimoRosa Giaimo More articles by this author , Nicola PavanNicola Pavan More articles by this author , and Alchiede SimonatoAlchiede Simonato More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003328.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Testis sparing surgery is now a well known surgical technique for small testicular masses. The candidate are patients with normal pre operative testosterone (if fertility preservation is required), small masses (under 2 cm, or not more then 1/3 of the testicular volume), normal value of serum markers for testicular cancer (bHCG, aFP, LDH), testicular masses in monorchid patients and in case of bilateral tumors. METHODS: We conducted a retrospective study including the period from February 2021 to August 2022. Our cohort of patients is composed by 4 patients with small testicular masses who underwent testis sparing surgery. The mean age was 36 years (27-57). BMI was >25 in 50% of patients. One patient reported cryptorchidism history. One patient referred anabolic steroids abuse in the past. None of them had previous history of testicular cancer. A testicular lamp was palpable in 2 patients. The mean lesion size was 0,7 cm (0,5-1,1). 2 patients presented with testicular pain, while two others patient had incidental diagnosis during routinary assessment for infertility and hypogonadotropic hypogonadism. For each patient US scan, tumor markers serum level, were performed. Tumor markers were within the normal limits in 100% of patients. RESULTS: The frozen sections assessment detected correctly benign tumors in 3 out of 4 patients: Adenomatoid tumor 2 (50%), Leydig cell tumor 1 (25%). A single malignant case was correctly identified as seminomatous proliferation in 1 patient; subsequently orchiectomy was performed, histologic examination confirmed Seminoma tumor plus Granulosa Cell Neoplasia In Situ (GCNIS). No one of the four patients developed post-op complications. Each patient is still in a follow-up program that includes periodic imaging surveys and clinical examinations. CONCLUSIONS: Testis sparing surgery is safe and effective in selected patients for small, benign masses and in the setting of bilateral disease or tumor in a solitary testis. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e929 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Silvia Altomare More articles by this author Gabriele Tulone More articles by this author Cristina Minasola More articles by this author Arjan Bishqemi More articles by this author Antonio La Rocca More articles by this author Rosa Giaimo More articles by this author Nicola Pavan More articles by this author Alchiede Simonato More articles by this author Expand All Advertisement PDF downloadLoading ...