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There is no agreed guidance of when ultrasound scans (USS) should be used to assess testicular pathology in sexual health settings, and the topic is visited infrequently in other guidance.1–4 Individual clinician choice has been the prevailing factor in choosing whether to scan or not. The Clinical Development Group of British Association for Sexual Health and HIV (BASHH) conducted a survey in 2014 of all genitourinary medicine (GUM) clinics via regional representatives, asking for factors used in decision making …
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