Low-Cord Orchidectomy for Testicular Cancer: What Would Be Different?

In the last decades, preferred surgical methods have shifted to less invasive surgeries for most urogenital malignancies such as prostate, kidney, and bladder. However testicular surgery for cancer remained the same. One of the main goals of minimally invasive surgery is to reduce morbidity and most of the morbidities of radical orchidectomy are due to injuries in the inguinal canal. Low-cord orchidectomy with subinguinal incision and dissection of the spermatic cord only up to the external inguinal ring level would not compromise the inguinal canal and reduce morbidity. But would we worsen the oncological outcomes? We aimed to discuss what we would lose oncologically if we performed low-cord orchidectomy on all of our patients in our 13 years of experience.

Written by: Ege A Sarıkaya, Department of Urology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey

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