Esen B, et al. - The ratio of benign lesions in patients who underwent radical orchiectomy due to hypervascularised intratesticular solid lesions detected in color Doppler ultrasound (CDUS) was demonstrated by the authors. They found a greater than expected incidence of vascular testicular solid lesions detected with scrotal CDUS. Findings suggested considering the treatment options other than radical orchiectomy such as testicular sparing surgery, in patients with smaller, non-palpable lesions without elevated tumor markers. The parameters that predict malignancy were the elevation of tumor markers, palpability, hypoechoic texture and larger size of the solid lesion.