testicular lesions

Andrological endocrinology

Andrological endocrinology

Our institution has a long-standing tradition in andrological research, with the first academic position being established in Rome in 1981. We have contributed to writing pioneering meta-analyses and national and international guidelines on testosterone replacement therapy (TRT) in male hypogonadism, infertility, and sexual dysfunction. In the past decade, we have focused on developing advanced imaging techniques for testicular disorders. We established the first International School of Ultrasound in Andrology for the European Academy of Andrology.

Reply by Authors

We agree that the ideal strategy in patients with an SMT would be to follow them with periodic US and perform surgery only in those who show significant growth during followup. This is our actual policy in masses less than 5 mm in diameter. In this group few patients required surgical exploration during followup. It is likely that in cases of such small lesions strict surveillance may not change the progression of germinal tumors, as reported by Bieniek et al, who noted a mean lesion diameter of 4.14 2.0 mm (reference 1 in Editorial Comment).

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