title: Urologist led one-stop testicular clinic: the UK 'gold standard'.
abstract: Prompt diagnosis and early treatment for testicular cancer is vital. To help with this a one-stop, urologist run, testicular clinic with testicular ultrasound scanning as an integral part of the clinic format was introduced to investigate patients in an efficient and timely manner. The aim of this study was to assess the feasibility and efficiency of running a one-stop testicular clinic. A prospectively collected electronic database of all patients attending a one-stop testicular clinic at a busy university hospital was interrogated over a 6-year period. Only new referral males, above the age of 15 years old were included. Case notes were reviewed retrospectively. A total of 1757 patients were found with a median age of 36. 6.3 % had a suspicious ultrasound scan and overall 5.6 % were found to have malignancy histologically. In addition a significant proportion of men with a history of testicular maldescent went on to develop testicular cancer (p < 0.01). Median time from referral to clinic and clinic to orchidectomy for suspected testicular cancers was 9 and 5 days respectively (95 % CI). Some of the benefits of a urologist run one-stop testicular clinic include: timely diagnosis and treatment, early reassurance with normal investigations, the discovery of clinically unsuspecting malignancy and the increase in teaching opportunities. These collective benefits must improve patient experience and benefit the department as a whole. A urologist led one-stop testicular clinic should be regarded as the gold standard.
authors: School of Cancer Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
authors: David
authors: D
authors: Muthuveloe
authors: Nottingham City Hospital, Hucknall Rd, Nottingham, UK.
authors: Nkwam
authors: N
authors: Nkwam
authors: Department of Urology, University Hospitals Birmingham, Birmingham, UK.
authors: Paul
authors: P
authors: Hutton
authors: Department of Urology, University Hospitals Birmingham, Birmingham, UK.
authors: D M A
authors: DM
authors: Wallace
authors: Department of Urology, University Hospitals Birmingham, Birmingham, UK.
authors: Richard
authors: R
authors: Viney
authors: School of Cancer Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
authors: Prashant
authors: P
authors: Patel
keywords: One-stop testicular clinic; Rapid access testicular clinic; Testicular cancer