James A Moore1, Cathy O'Neil, Derek Fawcett. 1. Harold Hopkins Department of Urology, Royal Berkshire NHS Foundation Trust, Reading, UK. james@jamesashleymoore.com
Abstract
INTRODUCTION: Testicular lumps and orchalgia both cause considerable anxiety, usually related to concerns about possible cancer. PATIENTS AND METHODS: We established a rapid-access testicular clinic staffed by a urologist and a specialist ultrasonographer in order to delay the time to a definitive diagnosis. RESULTS: Over a 30-month period, 845 men underwent clinical examination and scrotal ultrasonography. Overall, 4% of men were found to have testicular cancer. The majority of men were found to have normal testes or minor abnormalities and could be re-assured. CONCLUSIONS: This one-stop clinic reduces the time to a definitive diagnosis which may reduce anxiety suffered by men with testicular complaints and allows rapid identification of those harbouring a testicular malignancy.
INTRODUCTION: Testicular lumps and orchalgia both cause considerable anxiety, usually related to concerns about possible cancer. PATIENTS AND METHODS: We established a rapid-access testicular clinic staffed by a urologist and a specialist ultrasonographer in order to delay the time to a definitive diagnosis. RESULTS: Over a 30-month period, 845 men underwent clinical examination and scrotal ultrasonography. Overall, 4% of men were found to have testicular cancer. The majority of men were found to have normal testes or minor abnormalities and could be re-assured. CONCLUSIONS: This one-stop clinic reduces the time to a definitive diagnosis which may reduce anxiety suffered by men with testicular complaints and allows rapid identification of those harbouring a testicular malignancy.