Management of monorchid patients with previous testis cancer: the role of frozen sections and the real possibility of testis sparing surgery in a large retrospective series

Key Points

• Oncological results for patients undergoing testis sparing surgery were excellent, indicating successful management.
• Frozen sections (FS) were found to be feasible and reliable in detecting germ cell tumors (GCT) in this patient group.
• A large retrospective series revealed that most monorchid patients had a history of GCT, limiting TSS applications.
• The rarity of testis sparing surgery (TSS) in this cohort highlights the need for careful patient selection.