Evaluation of an Algorithm for Testis-Sparing Surgery in Boys with Testicular Tumors: A Retrospective Cohort Study

Aim: This study reports surgical treatment and its outcome for boys with a testicular tumor, in order to analyze the considerations of testis-sparing surgery (TSS) investigate whether, retrospect, was according recently developed algorithm. Methods: We retrospectively reviewed tumors who underwent between January 2000 June 2020 at Wilhelmina’s Children’s Hospital Princess Máxima Center Pediatric Oncology, The Netherlands. Medical records were searched clinical characteristics outcome. Results: identified 31 (median age = 5.5 years) 26 germ cell (GCTs), four sex cord-stromal tumors, one gonadoblastoma. Seventeen 1.5 had malignant 14 3.6 benign tumors. Four GCTs treated TSS, 25 radical inguinal orchiectomy (RIO), 2 scrotal orchiectomy. No recurrence or atrophy reported. All as suggested by algorithm, except boy RIO. Conclusion: Retrospective analysis prepubertal showed that TSS appears be safe, should considered based on clinicoradiological data, line our