Muthuveloe David, Nkwam Nkwam, Hutton Paul, Wallace D M A, Viney Richard, Patel Prashant
School of Cancer Sciences, University of Birmingham, Edgbaston, Birmingham, UK.
Nottingham City Hospital, Hucknall Rd, Nottingham, UK.
Springerplus. 2016 Jan 29;5:95. doi: 10.1186/s40064-016-1722-7. eCollection 2016.
Prompt diagnosis and early treatment for testicular cancer is vital. To help with this a one-stop, urologist run, testicular clinic with testicular ultrasound scanning as an integral part of the clinic format was introduced to investigate patients in an efficient and timely manner. The aim of this study was to assess the feasibility and efficiency of running a one-stop testicular clinic. A prospectively collected electronic database of all patients attending a one-stop testicular clinic at a busy university hospital was interrogated over a 6-year period. Only new referral males, above the age of 15 years old were included. Case notes were reviewed retrospectively. A total of 1757 patients were found with a median age of 36. 6.3 % had a suspicious ultrasound scan and overall 5.6 % were found to have malignancy histologically. In addition a significant proportion of men with a history of testicular maldescent went on to develop testicular cancer (p < 0.01). Median time from referral to clinic and clinic to orchidectomy for suspected testicular cancers was 9 and 5 days respectively (95 % CI). Some of the benefits of a urologist run one-stop testicular clinic include: timely diagnosis and treatment, early reassurance with normal investigations, the discovery of clinically unsuspecting malignancy and the increase in teaching opportunities. These collective benefits must improve patient experience and benefit the department as a whole. A urologist led one-stop testicular clinic should be regarded as the gold standard.
睾丸癌的及时诊断和早期治疗至关重要。为了实现这一点，引入了一个由泌尿科医生负责的一站式睾丸诊所，该诊所将睾丸超声扫描作为诊所模式的一个组成部分，以便高效、及时地对患者进行检查。本研究的目的是评估运营一站式睾丸诊所的可行性和效率。对一家繁忙的大学医院一站式睾丸诊所6年间前瞻性收集的所有患者的电子数据库进行了调查。仅纳入15岁以上的新转诊男性患者。对病历进行回顾性审查。共发现1757例患者，中位年龄为36岁。6.3%的患者超声扫描结果可疑，总体上5.6%的患者经组织学检查发现患有恶性肿瘤。此外，有睾丸未降病史的男性中有很大一部分最终患上了睾丸癌（p<0.01）。疑似睾丸癌患者从转诊到诊所以及从诊所到睾丸切除术的中位时间分别为9天和5天（95%置信区间）。由泌尿科医生负责的一站式睾丸诊所的一些好处包括：及时诊断和治疗、正常检查结果带来的早期安心、发现临床未怀疑的恶性肿瘤以及增加教学机会。这些共同的好处必然会改善患者体验，并使整个科室受益。由泌尿科医生主导的一站式睾丸诊所应被视为金标准。
