[Testis-sparing surgery for benign testicular tumor]

Area of Science:

• Urology
• Surgical Oncology

Background:

• Testicular tumors require effective treatment while preserving organ function.
• Testis-sparing surgery (TSS) is an alternative to radical orchiectomy for select cases.

Purpose of the Study:

• To evaluate the safety and feasibility of testis-sparing surgery (TSS) for benign testicular tumors.
• To assess oncological and functional outcomes following TSS.

Main Methods:

• Retrospective analysis of 8 patients with benign testicular tumors treated with TSS.
• Intraoperative and postoperative pathological examination of resected margins and tumor types.
• Follow-up assessment of recurrence, metastasis, testosterone levels, IIEF scores, and semen parameters.

Main Results:

• All 8 patients underwent partial testis resection with negative incisal margins.
• Pathology confirmed Sertoli cell tumors (3), adenomatoid tumors (3), and mature teratomas (2).
• Mean follow-up of 4 years showed no relapse or metastasis, with preserved testosterone levels, IIEF scores, and semen parameters.

Conclusions:

• Testis-sparing surgery is an effective management option for benign testicular tumors.
• TSS maximally preserves testicular tissue and protects patients' sexual function.
• The procedure demonstrates favorable oncological and functional outcomes.