RecruitingNot ApplicableNCT06828185

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

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

Sponsor

Loma Linda University

Enrollment

80 participants

Start Date

May 1, 2026

Study Type

INTERVENTIONAL

Conditions

Testicular Cancer

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

Sex: MALEMin Age: 18 Years

Inclusion Criteria6

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 Criteria6

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)