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Orchiopexy is performed in the event of testicular torsion, a urologic emergency presenting with intense pain and often without inciting injury. [citation needed]While neonatal torsion occurs with no anatomic defect to account for its occurrence (occurring in utero or shortly after birth), adult torsion results from a bilateral congenital anomaly often called a "bell-clapper deformity", where ...
The diagnosis should usually be made based on the presenting symptoms, but requires timely diagnosis and treatment to avoid testicular loss. [4] [page needed] [1] [2] An ultrasound can be useful when the diagnosis is unclear. [2] Treatment is by physically untwisting the testicle, if possible, followed by surgery. [1] Pain can be treated with ...
It is usually treatable if caught early, so urologists often recommend that boys who had orchiopexy as infants be taught testicular self-examination, to recognize testicular masses and seek early medical care for them. Cancer developing in an intra-abdominal testis would be unlikely to be recognized before considerable growth and spread, and ...
The failure of a competently performed microsurgical vasovasostomy following the absence of any sperm in the contents of each vas usually is due to “blowouts” in the epididymides. Under these circumstances an operation should be performed only by a micro-surgeon with proven vasoepididymostomy expertise, bypassing the blowouts.
Long permanent sutures, usually silk or polypropylene, are left on the stump of the spermatic cord as a marker in case it needs to be removed in the future during a retroperitoneal lymph node dissection (RPLND). The inguinal orchiectomy is a necessary procedure if testicular cancer is suspected.
The post-pubertal pediatric population and adults are at higher risk of malignant tumors and usually have a histology of a mixed germ cell tumor. Their first line of treatment is radical orchiectomy; however, they may be candidates for testis-sparing surgery such as partial orchiectomy, if there is a presence of a benign tumor.
-centesis : surgical puncture-tripsy : crushing or breaking up-desis : fusion of two parts into one, stabilization-ectomy : surgical removal (see List of -ectomies). ...
No-scalpel vasectomy is performed under local anaesthesia. Usually lidocaine 2 percent is infiltrated into the vas deferens and the puncture site on the scrotum. This makes the procedure pain free. Some patients may prefer to receive regional anaesthesia. [citation needed]