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Tijdschrift Voor Diergeneeskunde Nov 2000
Topics: Animals; Ethics; Male; Orchiectomy; Swine
PubMed: 11116812
DOI: No ID Found -
Journal of Laparoendoscopic Surgery Oct 1992A 28-year-old man was admitted for removal of an undescented testis. The operation was performed via the laparoscopic approach. Laparoscopy has for years been...
A 28-year-old man was admitted for removal of an undescented testis. The operation was performed via the laparoscopic approach. Laparoscopy has for years been recommended for locating the intraabdominal testis. Therapeutic laparoscopy is gaining increased popularity and this brief report shows that an intraabdominal testis can be easily removed via the laparoscope.
Topics: Adult; Cryptorchidism; Humans; Laparoscopy; Male; Orchiectomy
PubMed: 1358274
DOI: 10.1089/lps.1992.2.245 -
Urology Jul 1990
Topics: Humans; Male; Orchiectomy; Polytetrafluoroethylene; Prostatic Neoplasms; Prostheses and Implants; Surgery, Plastic
PubMed: 2368237
DOI: 10.1016/0090-4295(90)80322-e -
Urology Journal Sep 2013
Topics: Adolescent; Emergency Treatment; Humans; Laparoscopy; Male; Orchiectomy; Spermatic Cord Torsion
PubMed: 24078513
DOI: No ID Found -
The Journal of Urology Oct 2012Historically the placement of testicular prosthesis during orchiectomy for torsion is delayed despite reports of safe prosthesis placement during mastectomy and...
Initial results for combined orchiectomy and prosthesis exchange for unsalvageable testicular torsion in adolescents: description of intravaginal prosthesis placement at orchiectomy.
PURPOSE
Historically the placement of testicular prosthesis during orchiectomy for torsion is delayed despite reports of safe prosthesis placement during mastectomy and orchiectomy for cancer as well as the removal of infected penile prostheses. We describe our experience with intravaginal testicular prosthesis at orchiectomy in adolescents with torsion.
MATERIALS AND METHODS
Consecutive pubertal patients undergoing exploration for torsion from 2010 to 2011 were offered orchiectomy with staged prosthesis or combined orchiectomy and prosthesis exchange for nonsalvageable testis. Through a midline scrotal incision the ipsilateral tunica vaginalis was opened, testis detorsed and contralateral orchiopexy performed. When verified as unviable, the ipsilateral spermatic cord was suture ligated within the tunica vaginalis and preplaced sutures secured the saline filled prosthesis in the tunica vaginalis. Patients were discharged home on the day of surgery with 5 days of oral antibiotics and narcotics. Demographic, surgical and postoperative measures were prospectively recorded.
RESULTS
Of 19 patients 6 had testes deemed salvageable at surgery with a median time to presentation of 6 hours (range 4 to 48) vs 96 (range 14 to 168, p = 0.002) in the 13 patients with nonsalvageable torsion. Of these patients 12 (median age 15 years, range 12 to 16) elected combined orchiectomy and prosthesis exchange. With a median followup of 4.8 months (range 1.5 to 16) there were no infectious complications or extrusions. Eleven (91.7%) patients had a symmetric appearing scrotum with the prosthesis located in a mid to dependent scrotal position.
CONCLUSIONS
We demonstrate the feasibility of intravaginal prosthesis placement for immediate scrotal reconstruction in adolescents with nonsalvageable testicular torsion. Advantages of combined orchiectomy and prosthesis exchange include orthotopic prosthetic position, extra tunica vaginalis barrier layer and avoidance of a second anesthetic.
Topics: Adolescent; Child; Humans; Male; Orchiectomy; Prospective Studies; Prostheses and Implants; Prosthesis Implantation; Spermatic Cord Torsion
PubMed: 22906659
DOI: 10.1016/j.juro.2012.02.030 -
Fertility and Sterility Jun 2024To demonstrate the intraoperative surgical techniques required for simultaneous radical orchiectomy and microscopic oncotesticular sperm extraction (m-OncoTESE) in a...
OBJECTIVE
To demonstrate the intraoperative surgical techniques required for simultaneous radical orchiectomy and microscopic oncotesticular sperm extraction (m-OncoTESE) in a step-by-step fashion.
DESIGN
Video presentation.
SETTING
University Hospital (University of Chicago).
PATIENTS
A 37-year-old man (status after right orchiectomy at another institution for stage II-C testicular seminoma with positive preoperative tumor markers) was referred for contralateral orchiectomy of multifocal left testis mass and fertility preservation. Semen analysis before, microscopic testicular sperm extraction during, and semen or testicular specimen analysis after the first orchiectomy were unable to identify any sperm. A postoperative analysis of the m-OncoTESE performed on the left testis resulted in the cryopreservation of 200,000 motile sperm for future assisted reproductive technology (i.e., in vitro fertilization or in vitro fertilization-intracytoplasmic sperm injection).
INTERVENTIONS
Left radical orchiectomy and left m-OncoTESE.
MAIN OUTCOME MEASURES
A comprehensive visual documentation of m-OncoTESE surgical techniques with concurrent commentary detailing the reasons behind each surgical step. A brief discussion on the background of m-OncoTESE and alternative fertility preservation methods accompanies the procedure.
RESULTS
This video provides a step-by-step guide to performing an m-OncoTESE (proceeding a radical orchiectomy in a patient with testicular cancer) as a means of fertility preservation in an azoospermic patient. Successful extraction and cryopreservation of testicular spermatozoa were achieved after targeted ex-vivo testicular microdissection.
CONCLUSIONS
Sperm extraction via m-OncoTESE is a viable option for azoospermic patients with testicular cancer undergoing radical orchiectomies. The use of preoperative imaging and microsurgical techniques facilitates and optimizes surgical dissection and sperm recovery.
Topics: Male; Humans; Orchiectomy; Sperm Retrieval; Adult; Testicular Neoplasms; Fertility Preservation; Seminoma; Cryopreservation; Treatment Outcome
PubMed: 38403108
DOI: 10.1016/j.fertnstert.2024.02.037 -
International Braz J Urol : Official... 2012A 22-year-old woman with complete androgen insensitivity syndrome (CAIS) presenting with primary amenorrhea and normal female external genitalia was referred for...
MAIN FINDINGS
A 22-year-old woman with complete androgen insensitivity syndrome (CAIS) presenting with primary amenorrhea and normal female external genitalia was referred for laparoscopic gonadectomy. She had been diagnosed several years earlier but was reluctant to undergo surgery. Case
HYPOTHESIS
Diagnosis of this X-linked recessive inherited syndrome characterizes by disturbance of virilization in males with an AR mutation, XY karyotipe, female genitalia and severely undescended testis with risk of malignization. The optimal time to orchidectomy is not settled; neither the real risk of malignancy in these patients. Early surgery impacts development of a complete female phenotype, with enlargement of the breasts. Based on modern diagnostic imaging using DCE-MRI and surgical technology with single port laparoscopic access we hypothesize that the optimum time for gonadectomy is not at the time of diagnosis, but once feminization has completed.
PROMISING FUTURE IMPLICATIONS
An umbilical laparoendoscopic single-site access for bilateral gonadectomy appears to be the first choice approach as leaves no visible incision and diminishes the psychological impact of surgery in a patient with CAIS absolutely reassured as female. KeyPort, a single port access with duo-rotate instruments developed by Richard Wolf facilitates this surgery and allows excellent cosmetic results.
Topics: Androgen-Insensitivity Syndrome; Female; Humans; Laparoscopy; Male; Orchiectomy; Risk Factors; Time Factors; Treatment Outcome; Umbilicus; Young Adult
PubMed: 23131511
DOI: 10.1590/s1677-55382012000500016 -
The Journal of Veterinary Medical... May 2015Laparoscopic cryptorchidectomy without insufflation was applied in 10 standing bulls aged 3 to 15 months. Nine bulls were preoperatively pointed out intra-abdominal...
Laparoscopic cryptorchidectomy without insufflation was applied in 10 standing bulls aged 3 to 15 months. Nine bulls were preoperatively pointed out intra-abdominal testes by computed tomography. Preoperative fasting for a minimum of 24 hr provided laparoscopic visualization of intra-abdominal area from the kidney to the inguinal region. Surgical procedure was interrupted by intra-abdominal fat and testis size. It took 0.6 to 1.5 hr in 4 animals weighing 98 to 139 kg, 0.8 to 2.8 hr in 4 animals weighing 170 to 187 kg, and 3 and 4 hr in 2 animals weighing 244 and 300 kg to complete the cryptorchidectomy. In conclusion, standing gasless laparoscopic cryptorchidectomy seems to be most suitable for bulls weighing from 100 to 180 kg.
Topics: Animals; Cattle; Cattle Diseases; Cryptorchidism; Laparoscopy; Male; Orchiectomy
PubMed: 25715955
DOI: 10.1292/jvms.14-0587 -
The Veterinary Clinics of North... Mar 2013Using castration and dehorning as the test base, this article evaluates whether pain management is associated with increased production and whether this motivates... (Review)
Review
Using castration and dehorning as the test base, this article evaluates whether pain management is associated with increased production and whether this motivates producers. The literature supporting increased production parameters is limited. Studies have evaluated short periods and often use few animals. Few studies are repeated and the potential for publication bias is high. There is little evidence that pain management is associated with increased production. This is a concern because survey data suggest producers are partly motivated based on economic factors. The unanswered question is whether economic incentive programs would be greater motivators than increased production.
Topics: Animal Welfare; Animals; Cattle; Cost-Benefit Analysis; Horns; Orchiectomy; Pain Management
PubMed: 23438407
DOI: 10.1016/j.cvfa.2012.11.010 -
The Veterinary Record Apr 1989
Topics: Animals; Dogs; Male; Orchiectomy; Vasectomy
PubMed: 2718334
DOI: 10.1136/vr.124.13.356