Guideline of Guidelines: Follow-up After Orchiectomy for Clinical Stage I Testicular Cancer.

Several medical organizations have developed evidence-based guidelines for the diagnosis, management and follow-up of testicular cancer. This article aimed to review, compare, and summarize the most updated international guidelines and surveillance protocols for clinical stage 1 (CS1) testicular cancer. We reviewed a total of 46 articles on proposed follow-up strategies for testicular cancer, and 6 clinical practice guidelines including 4 guidelines published by urological scientific associations and 2 guidelines published by medical oncology associations. Most of these guidelines have been developed by panels of experts with different backgrounds in clinical training, and geographic practise patterns, which explains the considerable variability between published schedules, and recommended follow-up intensity. We present you with a comprehensive review of the most important clinical practice guidelines and propose unifying recommendations based on the most up to date evidence to help standardize follow-up schedules based on patterns and risk of disease relapse.