title: Microsurgical identification and excision of an intratesticular mass.
abstract: OBJECTIVE
  To demonstrate a step-by-step approach to microsurgical partial orchiectomy (PO) in a man with a small intratesticular mass.
  
  
  METHODS
  Video presentation.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 22-year-old man with right testicular pain and swelling found to have a small, nonpalpable 8-mm hypoechoic testicular mass on ultrasound. Tumor markers were negative.
  
  
  METHODS
  Partial orchiectomy.
  
  
  METHODS
  Intraoperative technique with commentary highlighting tips for a successful resection.
  
  
  RESULTS
  This video provides a brief introduction to and indications for PO as an alternative to radical orchiectomy. We describe the microsurgical approach to PO through an inguinal incision for the resection of a small intratesticular mass.
  
  
  CONCLUSIONS
  Microsurgical PO should be considered for select patients as an alternative to radical orchiectomy. The microscopic approach provides a more precise resection with limited collateral damage to surrounding parenchyma.
authors.affiliation: Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.
authors.forename: Luís Felipe
authors.initials: LF
authors.lastname: Sávio
authors.affiliation: Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.
authors.forename: Nachiketh Soodana
authors.initials: NS
authors.lastname: Prakash
authors.affiliation: Department of Urology, University of Miami Miller School of Medicine, Miami, Florida.
authors.forename: Raul
authors.initials: R
authors.lastname: Clavijo
authors.affiliation: Department of Urology, University of Miami Miller School of Medicine, Miami, Florida; Department of Pathology and Laboratory Medicine, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, Florida.
authors.forename: Oleksandr N
authors.initials: ON
authors.lastname: Kryvenko
authors.affiliation: Department of Urology, University of Miami Miller School of Medicine, Miami, Florida; Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, Florida. Electronic address: ranjithrama@gmail.com.
authors.forename: Ranjith
authors.initials: R
authors.lastname: Ramasamy
mesh_terms: D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D009919:Orchiectomy / Q000379:methods*; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D047368:Tumor Burden; D055815:Young Adult