inguinal orchiectomy
Surgical removal of a testis through an inguinal incision, the standard approach for suspected testicular cancer.
Full Definition
The gold standard surgical procedure for removing a testis when testicular cancer is suspected, performed through an incision in the inguinal region rather than the scrotum. This approach prevents potential tumor spillage and disruption of lymphatic drainage patterns that could affect staging and treatment. The procedure involves early ligation of the spermatic cord at the internal inguinal ring before manipulation of the testis. It is both diagnostic and therapeutic, providing tissue for histopathologic examination while completely removing the primary tumor.
Usage
Usage note: Emphasize 'inguinal' to distinguish from scrotal approach, which is contraindicated in cancer cases.
In Context
- "Emergency inguinal orchiectomy was performed for the suspicious testicular mass." — Operative report
- "Histopathology from the inguinal orchiectomy confirmed embryonal carcinoma." — Pathology consultation