Editing Orchiectomy (section)

== Testis-sparing Surgery (Partial Orchiectomy) ==

* Approach is identical to the approach of a radical inguinal orchiectomy.
* Intraoperative ultrasonography can be used to facilitate localization of the mass.
* When the mass is identified, a scalpel can be used to incise the tunica albuginea overlying the mass.
** When the approach is from the ventral midline, a vertical incision along the long axis of the testis is preferred. Otherwise, incisions localized medial or lateral to the ventral midline should be oriented horizontally to follow the course of the segmental arteries beneath the tunica albuginea.
* Once identified, the tumor is enucleated preferably with a small rim of surrounding seminiferous tubules insulating the mass. A fresh-sample is sent to pathology.
* If radical orchiectomy is not performed, the tunica is closed with absorbable suture, and the testis is placed back into the dependent portion of the scrotal compartment and secured at three points of internal fixation to the gubernaculum or medial septum of the scrotum.