关键词: Organ preserving surgery Spermatic cord clamping Testis tumor Warm ischemia

Mesh : Adolescent Animals Child Child, Preschool Fertility Preservation / methods Humans Infant Ischemia Male Orchiectomy Probability Spermatic Cord / pathology Testicular Neoplasms / surgery Testis / pathology Ultrasonography

来  源:   DOI:10.1007/s00383-021-04865-7

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.
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