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Testis Lesion Excision
What is
Testis Lesion Excision?
This
procedure involves the surgical removal of
lesion in the testis.
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Effects
of Testis Lesion Excision
Testicular surgery is used primarily to correct
developmental defects, treat infection, and
treat cancer of the testes.
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Candidates for Testis Lesion Excision
Ideal
candidates are males who are diagnosed to have
lesion(s) in the testis.
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Your Consultation
The doctor will examine the
testicles carefully and decide if there is a
problem within the testicle, or possibly a
structure close to the testicle. An ultrasound
may be performed to help determine the relevant
anatomy of the testicle and lesion.
If a testicle tumor is identified, then the
testicle will need to be removed surgically.
Preoperative chest X-rays and blood tests will
be performed. The most important determinant of
future treatment is dependent on the exact
pathologic diagnosis and staging by X-rays.
Radiation therapy, chemotherapy and surveillance
are options depending on the data accumulated.
Some patients will need to undergo a surgical
removal of the abdominal lymph nodes to rule out
involvement of these areas.
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The
Testis Lesion Excision Procedure
About
one hour before receiving general anesthesia,
the patient will get a shot that dries up
internal fluids and makes him sleepy.
Pre-surgical counseling is often recommended for
patients whose reproductive abilities will be
compromised by their surgeries.
The
initial treatment of a testicular lump confined
to the testicle is surgical removal of the
testicle. Some patients with high risk
testicular cancers, either because they invade
the wall of the testicle, or invade the blood
vessels, can be treated with chemotherapy after
the surgery. Patients whose disease is not
completely obliterated by surgery are treated
with chemotherapy, consisting of cisplatin,
etoposide and bleomycin. This is curative in
over 90% of cases. Patients with one subset of
disease called seminoma may have the lymph
glands in their abdomen irradiated after the
surgery. Occasionally, a testicular cancer can
occur without a testicular lump, similar
chemotherapy is used for these tumours.
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Recovery
A
patient who has had a testicle removed should
visit his physician once a month for the first
year and every other month for the second year,
with periodic follow-ups thereafter.
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Risks
Testicular surgery, like any major surgery, can
have post-operative complications. These
complications include internal bleeding and
wound infection, as well as adverse reactions to
anesthesia.
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Frequently Asked Questions
Q:
What are the testes?
A:
The
testes are two egg-shaped male reproductive
organs located in the scrotum. They produce
sperm and the male hormone,
testosterone.
Q:
What are the symptoms of having a lesion in the
testis?
A:
The most common physical finding is a hard lump
in the testicle. It is very important for men to
examine both of their testicles on a monthly
basis in order to detect tumors early. There is
usually no pain in the testicle although at
times the breasts may be tender due to
production of substances by the tumor that cause
tender enlargement of the breast tissue.
Q:
What is the purpose of testicular surgery?
A:
Testicular surgery is commonly performed for the
following reasons: to reposition undescended
testes (orchiopexy); to correct testicular
torsion; to treat testicular cancer, which may
involve removal of the testicles (castration) or
the testes (orchiectomy); and to correct
intersex states.
The following list of Urology procedures are
performed at Beverly Hills Medical Group -
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