PURPOSE OF REVIEW: @entity5 represents the majority of testicular masses, and radical orchiectomy is still considered the standard-of-care. @entity1062 ( @entity1062 ) can be an alternative to radical surgery in @entity1 with small @entity5 , bilateral or solitary testis masses. The aim of this manuscript is to review the current indications, oncological and functional outcomes of @entity1062 . RECENT FINDINGS: Our review confirmed that literature lacks studies with a high level of evidence on comparing @entity1062 with radical surgery. Indications for @entity1062 are controversial, specifically for @entity1 with normal contralateral testis. For nonpalpable testicular masses less than 2cm, @entity5 and solitary testis mass, @entity1062 seems to be a viable treatment option. Frozen-section examination is a critical tool for assessment at the time of @entity1062 that allows for diagnosis of benign from @entity5 and evaluation of margin. @entity1062 has been shown to be associated with less fertility alterations, hormonal deficit and potential lower impact on sexual and psychosocial aspects. Intermediate to long-term follow-up results have not revealed any significant risk of local and/or distant recurrences after @entity1062 . SUMMARY: @entity1062 is well tolerated and feasible for selected @entity1 with testicular mass without compromising oncological and functional outcomes. Further studies with a higher level of evidence are needed to confirm these findings.

Organ-sparing surgery for XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['malignant tumours', 'testicular tumours', 'Testicular cancer', 'bilateral tumours'] @entity1 :: ('9606', 'Species') :: ['patients'] @entity1062 :: ('MESH:D013736', 'Disease') :: ['Testis-sparing surgery', 'TSS']
@entity5 :: (MESH:D009369,Disease) :: ['testicular tumours']
