Why did the patients who underwent orchidectomy have statistically significantly higher prostatespecific antigen? It would have been informative if we had the baseline glucose, lipid profile, and indices of obesity for patients receiving ADT to show that their cardiovascular risk factors definitely increased with ADT. As there is a definite increase in cardiovascular risk factors with ADT, we s...

Testicular lymphoma is a rare tumour. Usually it is found in old men as part of a generalized lymphoma, and it carries a poor prognosis. We report a 30-yearold man with pathological stage IE lymphoma of the testis who has been successfully treated following staging laparotomy and splenectomy by radical orchidectomy alone. Localized testicular lymphoma is a small specific group with a good progn...

Amyand's hernia (AH) is characterized by the presence of the vermiform appendix in an inguinal hernia sac. Typically presenting on the right side and with manifestations similar to those seen in complicated hernias, it presents a diagnostic challenge and is frequently only diagnosed intraoperatively. We present the case of a left-sided AH on a 75-year-old man treated with appendicectomy, orchid...

The histology of 51 cases of testicular teratoma, with or without seminoma, was reviewed and classified according to the World Health Organization criteria. Full pathological and clinical details were obtained, and patients were followed up for periods varying from one to 10 years from orchidectomy. Multiple factors were studied in order to discover which affected prognosis. The pathological st...

Celsus, in the first century, found that varicocele makes testicular atrophy. Abol-ghasem Khalaf Zahravi (Albucasis) mentioned this subject and added that my teacher (Celsus) suggested orchidectomy for testis atrophy due to varicocele through scrotal incision parallel to the penis (1). Toullouch published a paper in 1952 about an infertile man with bilateral varicocele. He operated on him, and ...

A 56-year-old man presented with lower urinary tract obstructive symptoms, hemoptysis and progressive dyspnoea. Digital rectal examination showed an enlarged nodular prostate and a tru-cut biopsy confirmed carcinoma prostate. Chest x-ray showed multiple bilateral cannon ball opacities suggestive of metastases. He underwent bilateral orchidectomy and follow up assessment showed significant clear...

Extramedullary plasmacytoma (EMP) is usually seen in the head and neck regions and in the upper respiratory, gastrointestinal, and central nervous systems. Testis is a rare site for EMP, and bilateral synchronous testicular plasmacytoma occurring as an isolated event at initial presentation has been reported only once previously. We present herein the second such report in a 70-year-old man who...

Pure testicular seminomas occurring in patients with previous intracranial germ cell tumours are extremely rare. We present such a case. A 37-year-old gentleman presented to urology after previously being treated for a pineal germinoma with steroids and radiotherapy. On routine followup, he described symptoms of a testicular seminoma. This was managed surgically with radical orchidectomy. We di...

CASE REPORT An 80-year old male nonsmoker who had undergone cadaveric renal transplantation for end-stage renal disease three years previously presented with irritative voiding symptoms and microscopic haematuria. His immunosuppression included cyclosporin for one year and tacrolimus subsequently. 27 years earlier he had undergone a left Orchidectomy for testicular seminorna and radiotherapy fo...

BACKGROUND Purpura fulminans and bilateral perinatal testicular torsion are rare and may co-exist. CASE CHARACTERISTICS A 3-day-old neonate with bilateral swelling of scrotum; torsion and gangrenous changes were observed on exploration. INTERVENTIONS Left orchidectomy with preservation of right testis was done. OUTCOME At 2-month follow-up, right testis showed signs of atrophy. Child deve...