Microsurgical identification and excision of an intratesticular mass

Luís Felipe Sávio, Nachiketh Soodana Prakash, Raul I Clavijo, Oleksandr N. Kryvenko, Ranjith Ramasamy

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Objective To demonstrate a step-by-step approach to microsurgical partial orchiectomy (PO) in a man with a small intratesticular mass. Design Video presentation. Setting University hospital. Patient(s) A 22-year-old man with right testicular pain and swelling found to have a small, nonpalpable 8-mm hypoechoic testicular mass on ultrasound. Tumor markers were negative. Intervention(s) Partial orchiectomy. Main Outcome Measure(s) Intraoperative technique with commentary highlighting tips for a successful resection. Result(s) This video provides a brief introduction to and indications for PO as an alternative to radical orchiectomy. We describe the microsurgical approach to PO through an inguinal incision for the resection of a small intratesticular mass. Conclusion(s) Microsurgical PO should be considered for select patients as an alternative to radical orchiectomy. The microscopic approach provides a more precise resection with limited collateral damage to surrounding parenchyma.

Original languageEnglish (US)
Pages (from-to)e16
JournalFertility and Sterility
Issue number4
StatePublished - Apr 1 2017
Externally publishedYes

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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