{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:33:55Z","timestamp":1786649635731,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Testicular lesions most frequently present as palpable testicular masses. Interestingly, the identification of impalpable small testicular masses in patients with male factor infertility is occurring increasingly frequently, most probably due to the widespread use of testicular ultrasonography. In this study, we aim to provide insight into the likelihood of small incidentally found testicular masses and the recommended primary management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This is a retrospective study of 2680 infertile men with evidence of testicular lesion &lt;2 cm incidentally found on ultrasound during infertility evaluation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 20\/2680 (0.74%) of patients had an intraoperative frozen section due to an incidental testicular lesion. Eighty percent (16\/20) found out to be Leydig cell hyperplasia, 15% were Leydig cell benign tumors, and 5% were benign hemangioma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Reassurance and observation are recommended for the small (&lt;2 cm) incidental testicular lesion found during male infertility evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ua.ua_97_25","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T14:00:28Z","timestamp":1775829628000},"page":"157-161","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Prevalence and management of testicular incidentaloma in men with male factor infertility: Experience of a high-volume tertiary center"],"prefix":"10.4103","volume":"18","author":[{"given":"Ahmad A.","family":"Aboukhshaba","sequence":"first","affiliation":[{"name":"Department of Urology and Andrology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulaziz M.","family":"Almalki","sequence":"additional","affiliation":[{"name":"King Abdulaziz Specialist Hospital, Taif, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faisal G.","family":"Alzahrani","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Albaha, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omar N.","family":"Alfehaid","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hassan A.","family":"Altalag","sequence":"additional","affiliation":[{"name":"College of Medicine, Alfaisal University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulkareem","family":"Aloqbawi","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdulrahman","family":"Alsuwailim","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed S.","family":"Kattan","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Said A.","family":"Kattan","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naif K.","family":"Alhathal","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,10]]},"reference":[{"key":"R2-20260415","doi-asserted-by":"crossref","first-page":"5770","DOI":"10.3390\/jcm11195770","article-title":"Prevalence and management of incidental testicular masses-a systematic review","volume":"11","author":"Henriques","year":"2022","journal-title":"J Clin Med"},{"key":"R3-20260415","doi-asserted-by":"crossref","first-page":"2787","DOI":"10.1016\/j.ultrasmedbio.2021.05.022","article-title":"Incidental findings and how to manage them: Testis- a WFUMB position paper","volume":"47","author":"Lewicki","year":"2021","journal-title":"Ultrasound Med Biol"},{"key":"R4-20260415","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1007\/s11934-018-0810-3","article-title":"Use of ultrasound in male infertility: Appropriate selection of men for scrotal ultrasound","volume":"19","author":"Armstrong","year":"2018","journal-title":"Curr Urol Rep"},{"key":"R5-20260415","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1111\/bju.14056","article-title":"Incidentally detected testicular lesions <10 mm in diameter: Can orchidectomy be avoided?","volume":"121","author":"Scandura","year":"2018","journal-title":"BJU Int"},{"key":"R6-20260415","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1016\/j.euf.2022.10.001","article-title":"What is the malignant potential of small (<2 cm), nonpalpable testicular incidentalomas in adults? A systematic review","volume":"9","author":"Bertolotto","year":"2023","journal-title":"Eur Urol Focus"},{"key":"R7-20260415","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1016\/j.juro.2017.08.004","article-title":"Prevalence and management of incidental small testicular masses discovered on ultrasonographic evaluation of male infertility","volume":"199","author":"Bieniek","year":"2018","journal-title":"J Urol"}],"updated-by":[{"DOI":"10.4103\/ua.ua_141_26","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000}}],"container-title":["Urology Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_97_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:56:22Z","timestamp":1786647382000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ua.ua_97_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ua.ua_97_25","relation":{},"ISSN":["0974-7796","0974-7834"],"issn-type":[{"value":"0974-7796","type":"print"},{"value":"0974-7834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-06-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-13","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}