Table 5.

Examples of inappropriate referrals

Can feel the left testicle as normal…swelling attached to it Mass at lower pole of scrotum distinct from either testicle No testicular swelling or abnormality on examination A soft lump adjacent to [R] testis… I do not expect this to be a malignant lump Left hydrocele…transilluminates completely…to exclude underlying neoplasm He has a very large hydrocele…transilluminates…may be due to malignancy This may well be a cyst of the [R] epididymis Appears to have a hydrocele on the [L] side Swelling not attached to the [L] testis…feels like a varicocele Painless lump on his [R] testicle…appearance of epididymal cyst which transilluminates Cystic swelling separate from testis Lump in [L] scrotum…I felt it was a hydrocele