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Title: 前立腺癌に対する除睾術に関する一考案 : 経鞘膜的除睾術について
Other Titles: Transvaginal orchiectomy in the treatment of prostatic carcinoma
Authors: 酒徳, 治三郎  KAKEN_name
小松, 洋輔  KAKEN_name
清水, 幸夫  KAKEN_name
岡部, 達士郎  KAKEN_name
Author's alias: SAKATOKU, Jisaburo
OKABE, Tatsushiro
Keywords: Aged
Middle Aged
Prostatic Neoplasms/surgery
Issue Date: Aug-1966
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 12
Issue: 8
Start page: 795
End page: 798
Abstract: Subcapsular orchiectomy is the most commonly p erformed procedure in the endocrine treatment of prostatic carcinoma. However, it has been described by McDonald et al. and O'Conor et al. that there are significant numbers of Leydig- like cells remaining in the tunica albuginea and neighboring area of testis after subcapsular orchiectomy. Therefore, the orchiectomy including tunica albuginea and epididymis is considered to require in eradicating androgen-secreting tissue in the scrotum. A technique of transvaginal orchiectomy w as presented here, which was considered more radical than subcapsular orchiectomy and more beneficial in cosmetic reason than total orchiectomy. Te chnique : A transverse incision is made on the anterior scrotal skin under local or spinal anethesia. The incision is carried through the skin, cremasteric fascia, cremaster and tunica vaginalis testis preserving the tunica albuginea (Fig. 1). After the incision entering the vaginal space, the vas deferens is clamped, ligated and severed transvaginally at the level of upper pole of the testis, then vascular element is similarly isolated (Fig. 2, 3 and 4). The gubernaculum and remaining mesorchium are cross clamped and transected to complete the removal of the organs (Fig. 5). The incision is then approximeted and closed with skin sutures.
PubMed ID: 6008780
Appears in Collections:Vol.12 No.8

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