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Testicular sarcoidosis is a rare condition characterised by non-caseating granulomas located within the testicles. This case study reports a 44-year-old man who presented initially in 2011 with testicular pain and bilateral testicular sarcoidosis was confirmed on scrotal US. In 2019 he presented with erectile dysfunction. Scrotal ultrasound scan (US) showed bilateral testicular sarcoidosis that has not changed in size and nature when compared with US in 2011.

With the rapid increase in the number of new prostate cancer diagnoses and the growing number of cancer survivors, there is a need for a new model of survivorship care to address the holistic needs of our patients. The TrueNTH initiative, launched by the Movember Foundation, is set to markedly change the survivorship experience of men with prostate cancer and has the potential to make a big impact on their lives.

uro.sagepub.com 'postcode lottery' of care in the NHS and to ensure equal access to treatment irrespective of where someone lived. In 2005, NICE merged with the Health Development Agency and started developing public health guidelines. It changed its name to the National Institute for Health and Care Excellence. The Health and Social Care Bill 2012 reestablished NICE as a non-departmental public body with an emphasis on the development of outcomes at a local and national level by creating clinical and public health guidelines as well as quality standards. NICE currently only provides guidance for the NHS in England and Wales. NICE quality standards The NICE quality standards programme was established in 2009. Quality standards are 'a comprehensive set of recommendations for a particular disease or condition, particular

Metastasis pattern of prostate cancer varies widely; however, predominant affinity is towards regional lymph nodes. Mediastinal lymphadenopathy as the initial presentation, in absence of any pelvic lymph node involvement, remains extremely rare. Most patients are incidentally diagnosed and often have widespread metastatic disease on confirmation of diagnosis. A high index of clinical suspicion is necessary and routine clinical examination such as a digital rectal examination (DRE) can aid in earlier diagnosis and prompt clinical intervention can improve disease outcome. We present this case study of a 53-year-old patient who was incidentally diagnosed with metastatic adenocarcinoma of prostatic origin by TBUS-EBNA of hilar lymph nodes in the absence of pelvic lymphadenopathy.