Name of the Procedure:

Excision of Extraparenchymal Lesion of Testis

• Common names: Testicular lesion removal, Testicular mass excision
• Medical term: Excision of extraparenchymal lesion of the testis

Summary

The excision of an extraparenchymal lesion of the testis involves surgically removing a mass that is located outside the testicular parenchyma (the functional tissue of the testis). This procedure aims to diagnose and prevent further complications from the lesion.

Purpose

• Medical condition: Addresses the presence of benign or malignant lesions outside the testis.
• Goals: To remove the lesion for diagnostic examination and prevent potential complications such as malignancy or discomfort.

Indications

• Presence of a palpable lump in the scrotum.
• Pain or discomfort in the testicular area.
• Suspicion of tumor based on ultrasound or other imaging studies.
• Rapid growth of a testicular mass.
• Previous history of testicular cancer.

Preparation

• Fasting: Typically required for 6-8 hours prior if general anesthesia will be used.
• Medication adjustments: Discuss any blood-thinning medications with the doctor.
• Diagnostic tests: Ultrasound, blood tests (such as tumor markers), and possibly MRI may be required beforehand.

Procedure Description

1. Anesthesia: The patient is given general or regional anesthesia.
2. Incision: A small incision is made in the scrotum to access the lesion.
3. Lesion Removal: The lesion is carefully excised while preserving the surrounding healthy tissue.
4. Closure: The incision is closed with sutures.
5. Histological Examination: The excised tissue is sent for histopathological analysis to determine its nature.

Duration

The procedure typically takes about 30 minutes to 1 hour, depending on the complexity.

Setting

This procedure is usually performed in a hospital or surgical center.

Personnel

• Surgeon (usually a urologist)
• Assisting surgical team
• Anesthesiologist
• Nurses

Risks and Complications

• Common risks: Infection, bleeding, hematoma.
• Rare risks: Damage to surrounding tissue, recurrence of the lesion, testicular torsion, or infertility.

Benefits

The main benefits include:

• Relief from symptoms associated with the lesion.
• Accurate diagnosis of the lesion type.
• Prevention of potential complications such as malignancy.
• Benefits are usually realized immediately after recovery.

Recovery

• Post-procedure care: Keep the area clean and dry, follow wound care instructions.
• Activity restrictions: Avoid strenuous activities and heavy lifting for several weeks.
• Follow-up: Typically involves a follow-up visit within a week to examine the incision and discuss pathology results.
• Recovery time: Most patients recover within 1-2 weeks.

Alternatives

• Surveillance: Monitoring the lesion with regular imaging studies.
• Needle biopsy: Less invasive, but may not remove the entire lesion.
• Pros and cons: Surveillance avoids the risks of surgery but may delay treatment if the lesion is malignant; needle biopsy is less invasive but may not be definitive.

Patient Experience

• During the procedure: The patient will be under anesthesia and should feel no pain.
• After the procedure: Mild to moderate pain managed with prescribed pain relievers; temporary swelling and bruising may occur.
• Pain management: Pain medications and ice packs; wearing supportive underwear can help reduce discomfort.