BACKGROUND/PURPOSE To present clinical and laboratory features, treatment options, and outcome in patients with brucellar testicular infection and to compare them with analogous in brucellar patients without testicular involvement. METHODS Thirty four brucellar patients with testicular infection treated in two general hospitals in the Republic of Macedonia, during the period 1998-2009, were r...

Testicular torsion around the spermatic cord causes arterial and venous occlusion, which can lead to swelling, ischemia, eventually necrosis of testicle. It is a urologic emergency that requires time-dependent diagnosis prevent testicular loss. This case report an atypical presentation 15-year-old male with 5-day history torsion, resulted in preservation testes viability immediately after detor...

We report a case of a psammomatous variant of meningioma arising in a pure and mature testicular teratoma. At immunohistochemistry, the meningiomatous component showed epithelial membrane antigen, S100 protein, and vimentin positive. Benign neoplasms arising in testicular teratomas are extremely rare. To our knowledge, we have not found any such report of psammomatous variant of meningioma in a...

Carcinoma in situ in the testis has its origin in the fetal gonad and leads to testicular cancer in young adulthood. It can be detected in a testicular biopsy and treated with irradiation, which can preserve testosterone production of the man. These are the key findings of Niels E. Skakkebaek that changed our view of testicular tumourigenesis during the last fifty years. These and other finding...

A self-induced, non-traumatic testicular torsion is a rare entity that to our knowledge has not been reported in the literature. We report the case of a 28-year-old male who caused a self-induced testicular torsion during acts associated with cross dressing. Differential diagnosis of the acute scrotum in an adult should always include testicular torsion, as outcomes in this population are worse...

OBJECTIVE To report a case of a Segmental testicular infarction (STI) simulating a testicular tumour and to discuss the importance of the excisional frozen biopsy. METHODS We present the case of a patient with STI mimicking a testicular tumour. RESULTS The patient was treated with partial orchiectomy after excisional frozen biopsy. CONCLUSIONS The excisional frozen biopsy in testicular ma...

A physical exam is useful, but imperfect, in ruling out testicular torsion. The cremasteric reflex or a nontender testicle usually excludes testicular torsion, but case reports have noted the opposite to be true. An abnormal testicular lie can help establish the diagnosis, but occurs in fewer than 50 percent of cases. Other findings are less reliable. The standard of care for diagnosing testicu...

This is a case of an unusual cause of a testicular mass and the clinical features associated with its presentation and management.  The patient presented with testicular pain and was found to have a testicular mass on ultrasound with a central 1cm anechoic region with arterial wave-form concerning for a pseudoaneurysm. The patient underwent orchiectomy with resolution of his symptoms. This case...