Patient Reported Experiences With Sparing External Oblique Fascia Vs Standard Inguinal Orchiectomy

Description

The purpose of this study is to evaluate the difference in patient-reported postoperative outcomes between two standard-of-care surgical techniques for radical orchiectomy (inguinal orchiectomy versus external oblique fascia sparing orchiectomy) for treatment of patients with suspected testicular malignancy. The main questions it aims to answer are: 1. Does sparing the external oblique fascia during orchiectomy reduce pain after surgery? 2. Is there a difference in narcotic consumption after surgery? 3. Is there a difference in neuropathic pain after surgery? 4. Is there a difference in complications after surgery?

Conditions

Testicular Cancer

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Study Overview

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Study Details

Study overview

The purpose of this study is to evaluate the difference in patient-reported postoperative outcomes between two standard-of-care surgical techniques for radical orchiectomy (inguinal orchiectomy versus external oblique fascia sparing orchiectomy) for treatment of patients with suspected testicular malignancy. The main questions it aims to answer are: 1. Does sparing the external oblique fascia during orchiectomy reduce pain after surgery? 2. Is there a difference in narcotic consumption after surgery? 3. Is there a difference in neuropathic pain after surgery? 4. Is there a difference in complications after surgery?

Patient Reported Experiences With Sparing ExteRnal Oblique Fascia Vs Standard Inguinal OrchiEctomy

Patient Reported Experiences With Sparing External Oblique Fascia Vs Standard Inguinal Orchiectomy

Condition
Testicular Cancer
Intervention / Treatment

-

Contacts and Locations

Loma Linda

Loma Linda University, Loma Linda, California, United States, 92354

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * Participants undergoing radical orchiectomy for suspected testicular malignancy
  • * Testicular malignancy can be germ cell tumor or non germ cell tumors, including paratesticular tumors as long as a radical orchiectomy is planned
  • * Participants over 18 years of age who can provide informed consent
  • * Participants not currently using opiates for another reason
  • * Regional and metastatic patients are allowed, as long as participant does not require opiates for pain related to metastatic disease
  • * No contraindication for participant to receive standardized medication pathway in the peri-operative period.
  • * Clinical T4 disease
  • * History of illicit substance abuse (including prior opioid abuse) except for marijuana
  • * Participants who underwent chemotherapy or radiotherapy prior to orchiectomy
  • * Opioid use within 1 month of study enrollment
  • * Participants with large testis masses requiring skin incision larger than 8 cm in size.
  • * Participants with large testis masses requiring orchiectomy through an incision other than the standard transverse inguinal incision (i.e. hockey stick incision, vertical incision)

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

MALE

Accepts Healthy Volunteers

No

Collaborators and Investigators

Loma Linda University,

Study Record Dates

2029-09