GuidelineEuropean radiology2015
Testicular microlithiasis imaging and follow-up: guidelines of the ESUR scrotal imaging subcommittee.
Guideline in European radiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 145 citations in OpenAlex.
- Testicular Biopsies in Adolescent and Adult Andrological Patients: The EAA Clinical Guidelines.Andrology · 2026Guideline
- The role of the radiologist in the evaluation of male infertility: recommendations of the European Society of Urogenital Radiology-Scrotal and Penile Imaging Working Group (ESUR-SPIWG) for scrotal imaging.European radiology · 2025Guideline
- Ultrasound evaluation of varicoceles: systematic literature review and rationale of the ESUR-SPIWG Guidelines and Recommendations.Journal of ultrasound · 2020Pooled it
- Testicular microlithiasis and testicular cancer: review of the literature.International urology and nephrology · 2016Pooled it
- Diffuse testicular microlithiasis is associated with successful sperm retrieval in men with nonobstructive azoospermia.F&S reports · 2026Article
- From incidentaloma to actionable insight: a clinical-molecular-imaging framework for risk-stratified management of testicular microlithiasis.Frontiers in endocrinology · 2026Review
- A review of testicular histopathology in nonobstructive azoospermia.Asian journal of andrology · 2025Review
- Development and Validation of an Ultrasound Imaging Algorithm for Structured Reporting in Testicular Pathology.Diagnostics (Basel, Switzerland) · 2025Article
- An Insight into Testicular Macrocalcification-A Retrospective Study of 42 Cases on a Rare Sonographic Finding.Life (Basel, Switzerland) · 2025Article
- Clinical and imaging diagnosis of pediatric testicular microlithiasis: a physician's dilemma.Frontiers in pediatrics · 2025Review
- Diagnostic and prognostic implications of testicular microlithiasis.Arab journal of urology · 2025Review
- Pediatric testicular microlithiasis: a review of epidemiology, risk associations and management.Frontiers in pediatrics · 2025Review
- Management of pediatric testicular microlithiasis.Frontiers in pediatrics · 2025Review
- Multiparametric Ultrasound for Diagnosing Testicular Lesions: Everything You Need to Know in Daily Clinical Practice.Cancers · 2023Review
- Molecular Characterization of Patients with Cryptorchidism: Preliminary Search for an Expression Profile Related to That of Testicular Germ-Cell Tumors.Diagnostics (Basel, Switzerland) · 2023Article
- Male Infertility and the Risk of Developing Testicular Cancer: A Critical Contemporary Literature Review.Medicina (Kaunas, Lithuania) · 2023Review
- Imaging of pediatric testicular tumors: A COG Diagnostic Imaging Committee/SPR Oncology Committee White Paper.Pediatric blood & cancer · 2023Article
- Diagnostic and therapeutic workup of male infertility: results from a Delphi consensus panel.International journal of impotence research · 2023Article
- The European Academy of Andrology (EAA) ultrasound study on healthy, fertile men: An overview on male genital tract ultrasound reference ranges.Andrology · 2022Article
- Association Between Testicular Microlithiasis and Histological Subtype in Testicular Cancer.Cureus · 2022Article
Corrections and comments
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Authors and funding
12 authors at 12 institutions in 7 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe subcommittee on scrotal imaging, appointed by the board of the European Society of Urogenital Radiology (ESUR), have produced guidelines on imaging and follow-up in testicular microlithiasis (TML).
methodsThe authors and a superintendent university librarian independently performed a computer-assisted literature search of medical databases: MEDLINE and EMBASE. A further parallel literature search was made for the genetic conditions Klinefelter's syndrome and McCune-Albright syndrome.
resultsProposed guidelines are: follow-up is not advised in patients with isolated TML in the absence of risk factors (see Key Points below); annual ultrasound (US) is advised for patients with risk factors, up to the age of 55; if TML is found with a testicular mass, urgent referral to a specialist centre is advised.
conclusionConsensus opinion of the scrotal subcommittee of the ESUR is that the presence of TML alone in the absence of other risk factors is not an indication for regular scrotal US, further US screening or biopsy. US is recommended in the follow-up of patients at risk, where risk factors other than microlithiasis are present. Risk factors are discussed and the literature and recommended guidelines are presented in this article. KEY POINTS: • Follow up advised only in patients with TML and additional risk factors. • Annual US advised for patients with risk factors up to age 55. • If TML is found with testicular mass, urgent specialist referral advised. • Risk factors - personal/ family history of GCT, maldescent, orchidopexy, testicular atrophy.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.