Host: Mr. Fardod O’Kelly (Twitter: )
Guest: Prof. Dr. Raimund Stein (Twitter: )

In this episode the newly published article *** is discussed.

Timeline:

00:44
What is the incidence of finding testicular tumours in those prepubertal boys presenting with a hydrocoele? It seems as though being able to palpate the testicle is really important. If the testicle feels normal, would you still get an US?

02:37
Tell me about the controversy of microlithiasis in prepubertal boys. Is there a predominant pattern or age? They’re not palpable, so it sounds at present that we’re not sure of the link, because we have no idea about the population prevalence. Therefore, the advice is simply to examine, and not US…?

05:14
Given the association of microlithiasis with infertility, do you think that we are just getting snapshots of Testicular Dysgenesis Syndrome (TDS)?

07:09
One big difference compared with older males, is the non-necessity for bHCG. Whats your take on LDH?

08:51
Another big difference is the advocacy for organ-preservation with IOFS (intraoperative frozen section), based on v low recurrence rates. Would you still recommend partial orchidectomy in the presence of microlithiasis?

10:52
Your group recommends MR as the abdominal imaging modality of choice in those with a malignant tumour. If urologists had not access to this, would a CT abdomen with IV contrast suffice?

13:04
What’s your view on biobanking patients with malignant disease. Obviously, this brings logistical challenges in that you have to bank tissue in prepubertal boys and not sperm. Do you believe that we should be advocating for this moving forward?

More resources:
Article discussed in this episode;
EAU Guidelines on Testicular Cancer
ESU course for EAU Guidelines on Testicular Cancer (please subscribe to this course with your laptop or send an email to [email protected])
UROONCO Platform

Produced by: European School of Education
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