Publication:
Testis-sparing surgery: experience in 13 patients with oncological and functional outcomes

dc.contributor.coauthorKeske, Murat
dc.contributor.coauthorAtmaca, Ali Fuat
dc.contributor.coauthorÇakıcı, Özer Ural
dc.contributor.coauthorArslan, Muhammed Ersagun
dc.contributor.coauthorKamacı, Davut
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorBalbay, Mevlana Derya
dc.contributor.kuauthorCanda, Abdullah Erdem
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T11:45:43Z
dc.date.issued2019
dc.description.abstractIntroduction: we present oncological and functional outcomes of patients who underwent testis-sparing surgery (TSS). Methods: overall, 13 patients were included. Mean patient age was 29.9 +/- 12.5 years. In five patients, TSS was performed for sequential bilateral testicular tumours. One patient underwent concurrent left radical orchiectomy and right TSS. In eight patients with normal contralateral testis, seven underwent left and one underwent right TSS. Results: mean pathological tumour size was 14.6 +/- 12.5 mm. lntraoperative frozen section evaluation of the mass was performed in eight patients that revealed benign lesions. No intraoperative tumour bed biopsies were taken in this patient group. Regarding the remaining five patients, intraoperative tumour bed biopsies were taken and testicular intraepithelial neoplasia (TIN) was reported in two (40%) patients; no local testicular radiotherapy was given postoperatively. Tumour pathology was malignant in all but one lesion, including Leydig cell tumour (n=1), seminoma(n=2), embryonal carcinoma (n=1), and adenomatoid tumour (n=1). During 47.2 +/- 22.5 months of followup, local recurrence was detected in one patient who underwent radical orchiectomy. No additional local recurrence or systemic metastasis was identified in other patients with malignant lesions. For patients with malignant tumours, of the three patients with a normal preoperative testosterone levels, testosterone level was normal in one patient (with no erectile dysfunction [ED]) and was decreased in two patients (with ED) following TSS. No ED was reported in the nine patients with benign lesions. Conclusions: in carefully selected cases, TSS appears to be a safe, feasible procedure with adequate cancer control that could preserve sexual function.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue3
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipN/A
dc.description.versionPublisher version
dc.description.volume13
dc.identifier.doi10.5489/cuaj.5379
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR01744
dc.identifier.issn1911-6470
dc.identifier.quartileQ4
dc.identifier.scopus2-s2.0-85063367941
dc.identifier.urihttps://hdl.handle.net/20.500.14288/486
dc.identifier.wos459702400005
dc.keywordsSmall testicular masses
dc.keywordsGerm-cell tumors
dc.keywordsBenign
dc.keywordsLesions
dc.keywordsCancer
dc.language.isoeng
dc.publisherCanadian Urological Association (CUA)
dc.relation.grantnoNA
dc.relation.ispartofCuaj-Canadian Urological Association Journal
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/8363
dc.subjectMedicine
dc.subjectUrology and nephrology
dc.titleTestis-sparing surgery: experience in 13 patients with oncological and functional outcomes
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorCanda, Abdullah Erdem
local.contributor.kuauthorBalbay, Mevlana Derya
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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