Resection Specimens

Radical inguinal orchidectomy is performed when a testis tumour is appreciated on examination and/or preoperative imaging studies. This is accomplished via an inguinal incision in order not to alter the lymphatic drainage pattern of the testicle (to the retroperitoneal lymph nodes) by violating the scrotal wall (drainage to the superficial inguinal lymph nodes). Radical orchidectomy also allows ligation of the vas deferens and testicular vessels at the internal inguinal ring, so that, should subsequent surgical removal of the spermatic cord and retroperitoneal lymph nodes be required (for therapy or staging), the inguinal canal need not be explored again.

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