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Permanent ischemia-induced testicular damage may occur as early as 30 min in prepupertal rats. With the goal of potentially enhancing testicular function and fertility preservation, we performed testis-sparing surgery (TSS) without ischemia for testicular lesions in select children with negative markers and high likelihood of benignity on ultrasonography. Preliminary experience suggests that off-clamp TSS should be more liberally encouraged, especially in infants and prepubertal children, given their particularly vulnerable spermatic cord elements.

Citation

Silvia Ceccanti, Irene Pecorella, Amalia Schiavetti, Gianmarco Andreoli, Antonio Ciardi, Denis A Cozzi. Zero-ischemia testis-sparing surgery for probably benign pediatric testicular tumors. Pediatric surgery international. 2021 May;37(5):673-676

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PMID: 33649880

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