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s were independently screened for eligibility by two reviewers and disagreements resolved through discussion or third party opinion. Agreement level was calculated using Cohen’s Abstract Background: Germ cell tumours are the most common form of testicular tumour in men less than 45 years. Radical inguinal orchidectomy is the gold standard first line of management. Bilateral testicular tumours present an ongoing management problem. However, testicular sparing surgery is not often considered a common pathway of management. Population: Adult males (≥18 years) with bilateral germ cell tumours and testicular sparing surgery. Intervention: Testicular sparing surgery. Outcomes: Primary outcomes: pathology, tumour size, patient age, survival and oncological outcomes. Due to the paucity of literature in this area, all literature was reviewedlevel 1-4. Objectives: To review outcomes from testicular sparing surgery. Design: A systematic review was conducted of bilateral testicular germ cell tumours and testicular sparing surgery. Results and limitations: The systematic review elicited 60 papers, 7 of which conformed to the search criteria. Conclusions: There are a variety of methods to treat bilateral testicular germ cell tumours, from organ sparing surgery to radio and chemotherapy. With limited evidence we can say, there are specific times this procedure is indicated and patient selection is key.

Testicular Sparing Surgery: Is there a Role in Management of Bilateral Orchidectomy?