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

Recruiting now · Not applicable

Conditions studied: Testicular Cancer

In brief

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?

Key facts

Study ID

NCT06828185

Run by

Loma Linda University

People needed

80

Starts

2026-12-01

Expected to finish

2029-09-01

Last updated by the study team

2026-07-10

Who can join

Age: 18 and older. Sex: male. Healthy volunteers: not accepted.

You may qualify if…

• 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.

You may not qualify if…

• 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)

Where it is running

• Loma Linda University — Loma Linda, California, United States (enrolling)

Full record on ClinicalTrials.gov

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