{Reference Type}: Journal Article
{Title}: Zero-ischemia testis-sparing surgery for probably benign pediatric testicular tumors.
{Author}: Ceccanti S;Pecorella I;Schiavetti A;Andreoli G;Ciardi A;Cozzi DA;
{Journal}: Pediatr Surg Int
{Volume}: 37
{Issue}: 5
{Year}: May 2021
{Factor}: 2.003
{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.