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

Key facts

Who runs it
Loma Linda University
Where
Loma Linda and Los Angeles, United StatesSee the 2 sites
Trial code
Status
Recruiting
People taking part
80 people, planned
Starts
Dec 2026
Expected to end
Sept 2029
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Radical inguinal orchiectomy
  • Radical external oblique fascia sparing orchiectomy
Record updated
10 November 2026

Who can take part

Age
18 years and older
Sex
Men only
Healthy volunteers
Cannot take part

The registry criteria, word for word

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Who can take part

  • 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

Who cannot take part

  • History of illicit substance abuse (including prior opioid abuse) except for marijuana
  • Participants who underwent chemotherapy or radiotherapy prior to orchiectomy
  • Clinical T4 disease
  • 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 in United States

  • Loma Linda UniversityLoma Linda, United StatesContact: Muhannad Alsyouf, MDTaking people
  • University of Southern CaliforniaLos Angeles, United StatesContact: Siamak Daneshmand, MDTaking people

About the trial

What the trial wants to find out

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:

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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?

The 2 groups in the trial

  • Radical inguinal orchiectomyExisting treatment, for comparison
  • Radical external oblique fascia sparing orchiectomyExisting treatment, for comparison

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

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Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
Patient Reported Experiences With Sparing ExteRnal Oblique Fascia Vs Standard Inguinal OrchiEctomy
Record updated
10 November 2026