Torsion of the Testicle
Torsion of the Testicle DIANA K. BOWEN ROBERT E. BRANNIGAN Testicular torsion is a true urologic emergency, requiring a provider to arrive at a timely diagnosis with a fast transition…
Scrotal Trauma and Reconstruction
Scrotal Trauma and Reconstruction K. JEFF CARNEY GERALD H. JORDAN The anatomy of the male genitalia is quite complex. In the scrotum, there are multiple fascial layers (Figs. 63.1 and…
Retroperitoneal Lymph Node Dissection
Retroperitoneal Lymph Node Dissection SIMON KIMM JOEL SHEINFELD The contemporary management of testicular germ cell tumors (GCTs), which incorporates significant advances in imaging, surgery, chemotherapy, and radiation therapy, has achieved…
Organ-Preserving Surgery in Testicular Tumors
Organ-Preserving Surgery in Testicular Tumors AXEL HEIDENREICH Testicular germ cell tumors (TGCTs) are the most common neoplasms in young men, with bilateral simultaneous and sequential tumors arising in 2% to…
Radical Inguinal Orchiectomy
Radical Inguinal Orchiectomy DANIEL J. LEE DOUGLAS S. SCHERR Testicular tumors are an uncommon and clinically heterogeneous group of tumors, accounting for approximately 8,000 new cases and 370 deaths in…
Simple Orchiectomy
Simple Orchiectomy JONATHAN L. SILBERSTEIN Simple orchiectomy involves the removal of one or both testes at the distal spermatic cord, usually through a transscrotal approach. Importantly, this is in direct…
Sperm Retrieval Techniques
Sperm Retrieval Techniques KELLY A. CHILES PETER N. SCHLEGEL Azoospermia is defined as the complete absence of sperm in the ejaculate after analysis of two ejaculated specimens. Up to 15%…
Anatomy of the Testis
Anatomy of the Testis MARK SIGMAN An understanding of normal testicular anatomy is important for all urologists involved in male reproductive surgery. Proper knowledge of normal allows recognition of those…
Ejaculation Induction Procedures
Ejaculation Induction Procedures DARIUS A. PADUCH LINDSAY DOW ROBERT JOHN LISCHER Anejaculation is defined as failure of ejaculation (retrograde or antegrade) and needs to be distinguished from anorgasmia (lack of…
Epididymectomy
Epididymectomy KHALID ALRABEEAH PETER CHAN With the advances in medical imaging to evaluate the nature of most scrotal masses along with the availability of broadspectrum antimicrobials to control infection of…
