Dr. Elist performs a radical testicle removal by removing en bloc the contents of half of the scrotum. An incision is made in the inguinal area from the pubic bone up towards the lateral pelvic bone. The incision made deep into the tissues and the spermatic cord is dissected free and cross-clamped. The testis and all its associated structures are pushed up from the scrotum into the incision and removed. Packing is then placed in the empty scrotum. When the spermatic cord is opened and the individual bundles making up the cord are cross-clamped, cut, and secured with nonabsorbable suture material, care is taken to avoid important nerves and vessels in the area. The packing is removed and bleeding controlled. A prosthetic testis may be placed in the scrotum before the incision is closed in layers by suturing. This procedure results in complete removal of the testis. If abdominal exploration is warranted, a midline incision is made from the upper to the lower abdomen and the abdominal cavity is entered. The back wall of the abdomen is exposed and the lymph nodes are checked for spread of tumor. Some may be removed and/or biopsied and the abdominal wound is closed in multiple layers by suturing.
Rest Harder Than You Work Out
If you overtrain -- meaning you don't allow your body to recuperate adequately between training sessions -- your circulating testosterone levels can plunge by as much as 40 percent, according to a study at the University of North Carolina. The symptoms of overtraining are hard to miss: irritability, insomnia, muscle shrinkage, joining the Reform Party. To avoid overtraining, make sure you sleep a full eight hours at night, and never stress the same muscles with weight-lifting movements two days in a row.