%0 Journal Article
%T Zero-ischemia testis-sparing surgery for probably benign pediatric testicular tumors.
%A Ceccanti S
%A Pecorella I
%A Schiavetti A
%A Andreoli G
%A Ciardi A
%A Cozzi DA
%J Pediatr Surg Int
%V 37
%N 5
%D May 2021
%M 33649880
%F 2.003
%R 10.1007/s00383-021-04865-7
%X 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.