Testicula Tumour Surgery | Undescended Testis | Retractile Testis | When to Operate |

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Welcome to our educational surgical channel, where complex surgeries are broken down with clarity, precision, and experience. In this video, **Dr. Imtiaz Hussain (Gold Medalist)**, a highly skilled **General & Laparoscopic Surgeon**, explains and demonstrates the surgical management of **Testicular Tumours**, **Undescended Testis**, and **Retractile Testis** — conditions that are often misdiagnosed or overlooked in early stages.

This in-depth, high-definition surgical video will guide viewers through the differences between these conditions, the proper timing for intervention, and a **step-by-step breakdown of the surgical procedure** — designed to educate medical students, surgical trainees, and healthcare professionals.

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### **Meet the Expert: Dr. Imtiaz Hussain (Gold Medalist)**

- **MBBS, FCPS, FACS (USA)**
- **Diploma in Laparoscopy (Germany)**
- **Certified Piles, Fissure & Fistula Specialist**
- **CHPE – Certified Health Professions Educator**
- **Fellow of the American College of Surgeons (FACS, USA)**
- **General & Laparoscopic Surgeon with over a decade of experience**

Dr. Imtiaz Hussain is dedicated to spreading medical knowledge through real surgical footage, complete case explanations, and technical teaching focused on high-risk and complex procedures.

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### **Understanding the Topic:**

**1. Undescended Testis (Cryptorchidism)**
A condition where one or both testicles fail to descend into the scrotum. It’s common in pediatric cases and must be addressed early to prevent infertility or malignancy.

**2. Retractile Testis**
Not truly undescended but moves between scrotum and groin. Often self-resolving, but must be monitored for potential complications.

**3. Testicular Tumour**
Can occur in descended or undescended testis. Early detection is key. Orchiectomy (removal of the testicle) is often required in confirmed malignant cases.

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### **When to Operate?**

- **Undescended Testis:** Ideally between 6 months and 1 year of age.
- **Retractile Testis:** No surgery unless it becomes ascending or fixed.
- **Testicular Tumour:** Immediate surgical removal upon diagnosis is critical.

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### **Surgical Procedure: Orchiectomy for Testicular Tumour (Step-by-Step)**

**Step 1: Pre-operative Assessment**

**Step 2: Patient Positioning and Aseptic Prep**

**Step 3: Inguinal Incision**

**Step 4: Identification of the Spermatic Cord**

**Step 5: High Ligation of the Spermatic Cord**

**Step 6: Testis Removal**

**Step 7: Hemostasis and Closure**

**Step 8: Post-operative Care**

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### **Key Learning Points from This Video:**

- Clinical distinction between retractile vs undescended testis
- When surgery is necessary and when to observe
- Safe surgical technique to avoid tumor seeding
- Proper high cord ligation and oncologic principles
- Pediatric vs adult case considerations

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### **Who Should Watch This?**

- General Surgery & Urology Residents
- Pediatric Surgeons
- MBBS, FCPS, MRCS, and FRCS trainees
- Medical students preparing for board exams
- Healthcare professionals involved in male reproductive health

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### **Dr. Imtiaz Hussain’s Mission**

To create a rich digital resource for medical professionals by showcasing real-world surgical procedures with detailed commentary, visual aids, and evidence-based practices. Stay informed, stay trained.

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