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

Summary

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?

Eligibility

Inclusion 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.

Exclusion Criteria:

* 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)

Conditions2

Locations1 site

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