Related Experiment Video
Updated: Mar 7, 2026
Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
Published on: March 31, 2023
Microsurgical identification and excision of an intratesticular mass
Luís Felipe Sávio1, Nachiketh Soodana Prakash1, Raul Clavijo1
1Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.
Objective:
To demonstrate a step-by-step approach to microsurgical partial orchiectomy (PO) in a man with a small intratesticular mass.
Design:
Video presentation.
Setting:
University hospital.
Patient(S):
A 22-year-old man with right testicular pain and swelling found to have a small, nonpalpable 8-mm hypoechoic testicular mass on ultrasound. Tumor markers were negative.
Intervention(S):
Partial orchiectomy.
Main Outcome Measure(S):
Intraoperative technique with commentary highlighting tips for a successful resection.
Result(S):
This video provides a brief introduction to and indications for PO as an alternative to radical orchiectomy. We describe the microsurgical approach to PO through an inguinal incision for the resection of a small intratesticular mass.
Conclusion(S):
Microsurgical PO should be considered for select patients as an alternative to radical orchiectomy. The microscopic approach provides a more precise resection with limited collateral damage to surrounding parenchyma.
