254 Driving Improvement for Testicular Cancer Patients within a Urology Unit at a District General Hospital

Abstract Aim Assess the proportion of patients undergoing: (1) Preoperative assessment testicle, including serum tumour markers (STM) and testicular ultrasound (US), (2) Orchidectomy within 3 weeks US diagnosis, (3) Radiological staging (CT) surgery. Method Patients who had a radical inguinal orchidectomy for probable malignancy were identified, between January October 2021, via electronic theatre system. Clinical data, blood results, imaging, histopathology, obtained ICE reporting Results 21 underwent during 10-month period. The median age was 37 (26–89) with majority (81%) presenting painless lump. On final 11 (52.3%) demonstrated classical seminoma 6 (28.6%) mixed germ cell tumour. Testicular performed on all prior to surgery 95.2% full complement STM taken. Unfortunately, Lactate Dehydrogenase (LDH) in 65% these haemolysed. mean time from diagnosis 20.1 days (4–29), 66.6% operated weeks. A CT 84.6% Conclusions Delays cancer can impact both disease stage ultimately outcome. Following local presentation our whilst liaising biochemistry, various factors have been addressed help mitigate risk sample haemolysis (including drawing, transport, processing). In addition, more formal pathway has since instigated ensure are undergoing timely fashion.