Highlights ■ Less than half of the patients (37.93%) reached first medical unit within 6h of pain onset. ■ Patients with delayed first medical attendance showed higher orchiectomy rates. ■ A high delay in seeking assistance and considerable time spent on interhospital transport were observed. ■ Late presentation (D1) and interhospital transport (D2) had a negative impact on testis preservation. ABSTRACT Objective To evaluate the time interval and possible delay in transportation to referral units for the treatment of testicular […]

A 23-year-old male with a history of bone marrow transplant for acute myeloid leukemia. He presented a large mass in the right inguinal region 5 years ago. Upon physical examination, right-sided cryptorchidism was observed. The tumor markers alpha-fetoprotein and beta-HCG were within normalcy range and lactate dehydrogenase was raised. Computed tomography of the abdomen and pelvis revealed right testicular mass in contiguity with the inguinal canal to the ipsilateral retroperitoneum, associated with right hydronephrosis. Due to the risk of germ-cell […]