Urology>>>>>Testicular Cancer
Question 1#

. Regarding orchidectomy for testicular cancer, which of the following is TRUE?

A. Testicular prosthesis can be inserted without fear of prohibitive infectious complications
B. Division of the spermatic cord must be taken at the superficial inguinal ring
C. In cases of symptomatic metastatic disease orchidectomy should precede chemotherapy
D. Organ-sparing surgery can be performed when tumour volume is less than 50%
E. Long-term risk of silicone implants is well known

Correct Answer is A

Comment:

Answer A

From a large series of testicular prosthesis insertions at radical inguinal orchidectomy (Robinson et al., BJUI 2016) 33 of 885 patients were re-admitted with a variety of post-op complications including infection within 30 days. However, only 1 out of 236 patients (0.4%) required prosthesis removal. The spermatic cord is tied and excised at the deep inguinal ring. Symptomatic metastatic disease is an oncological emergency and first line treatment should be expedited chemotherapy. The guidelines for organ-sparing surgery involve the tumour volume to be less than 30%. The long-term risks of silicone implants remain unknown despite the controversy with breast implants.