{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T14:22:16Z","timestamp":1747146136480,"version":"3.40.5"},"reference-count":5,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T00:00:00Z","timestamp":1691366400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ultrason Med"],"published-print":{"date-parts":[[2023,11]]},"abstract":"Abstract<\/jats:title>Introduction\/Purpose<\/jats:title>Percutaneous core\u2010needle biopsy of the testicle has been shown to be a safe and effective method of obtaining tissue for histological analysis and can be considered in specific clinical scenarios. While the use of spermatic cord block has been shown to be effective in pain relief in the emergent setting and as an anaesthetic option for inguinal surgery, its use in percutaneous core\u2010needle biopsy has not been well described. Through this case series, we present our experience and technique of ultrasound\u2010guided percutaneous core\u2010needle biopsy using spermatic cord block in the setting of indeterminant testicular masses.<\/jats:p><\/jats:sec>Methods<\/jats:title>Our departmental biopsy database was reviewed to identify patients who underwent percutaneous core\u2010needle biopsy of the testicle from March 2010 to July 2022 and who also received spermatic cord block during the procedure.<\/jats:p><\/jats:sec>Results<\/jats:title>Three patients were identified who met the search criteria. All three patients presented for the evaluation of indeterminant testicular mass and had a known non\u2010testicular primary cancer diagnosis at the time of biopsy. All three biopsies were performed using a combination of spermatic cord block, moderate sedation, and local anaesthetic. Biopsies were obtained using an 18\u2010gauge spring\u2010loaded device with 4\u20105 core samples obtained during each procedure. All biopsies were well tolerated without significant pain or post\u2010procedure complications.<\/jats:p><\/jats:sec>Discussion<\/jats:title>Ultrasound\u2010guided percutaneous core\u2010needle testicular biopsy using spermatic cord block is a safe and effective option in sampling indeterminate testicular masses while maintaining patient comfort.<\/jats:p><\/jats:sec>Conclusion<\/jats:title>The inclusion of a spermatic cord block in combination with local anaesthetic and moderate sedation has become standard practice in our institution, as we believe this maximises patient comfort and safety resulting in a better patient experience.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajum.12356","type":"journal-article","created":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T00:27:30Z","timestamp":1691454450000},"page":"267-271","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Case series: The use of spermatic cord block in maximising patient comfort during ultrasound\u2010guided percutaneous core\u2010needle<\/scp> biopsy of the testicle"],"prefix":"10.1002","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9497-8285","authenticated-orcid":false,"given":"Michael","family":"Dunlay","sequence":"first","affiliation":[{"name":"Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Gu","sequence":"additional","affiliation":[{"name":"Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Adamo","sequence":"additional","affiliation":[{"name":"Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Welch","sequence":"additional","affiliation":[{"name":"Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annie","family":"Packard","sequence":"additional","affiliation":[{"name":"Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Atwell","sequence":"additional","affiliation":[{"name":"Mayo Clinic Rochester Minnesota USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00261-018-1560-x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2020.02.023"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00330-008-1072-0"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeq301"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2016.8.31017"}],"container-title":["Australasian Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajum.12356","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,28]],"date-time":"2023-12-28T05:56:31Z","timestamp":1703742991000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajum.12356"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,7]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/ajum.12356"],"URL":"https:\/\/doi.org\/10.1002\/ajum.12356","archive":["Portico"],"relation":{},"ISSN":["1836-6864","2205-0140"],"issn-type":[{"type":"print","value":"1836-6864"},{"type":"electronic","value":"2205-0140"}],"subject":[],"published":{"date-parts":[[2023,8,7]]},"assertion":[{"value":"2023-08-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}