ARTICLE IN PRESSEUROPEAN UROLOGY xxx (2023)xxxavailable at www.sciencedirect.comjournal homepage:www.europeanurology.comEUROPEANeaEuropean Association of UrologyReview -Testis CancerEuropean Association of Urology Guidelines on Testicular Cancer:2023 UpdateAnna Patrikidou,Walter Cazzaniga,Daniel Berney,Joost Boormans Isabel de AngstDomenico Di Nardo,Christian Fankhauser,Stefanie Fischer,Carmen Gravina"Hendrik Gremmels,Axel Heidenreich',Florian Janisch,Ricardo Ledo Nicola Nicolai,Christoph Oing",Jan Oldenburg",Robert Shepherd,Torgrim Tandstad,David Nicol.Department of Oncology.Institut Gus tave Roussy.Villejuif.France:Department of Urology.The Royal Marsden NHS Foundation Trust,London.UK:BartsCancer Institute,Queen Mary University of London,London,UK:d Department of Urology.Erasmus MC Cancer Institute,Rotterdam The Netherlands;PatientRepresentative.European Association of Urology Guidelines Office.Arnhem.The Netherlands:'Department of Urology.Luzerner Kantonsspital.Luzem.Switzerland:8Department of Medical Oncology and Hematology.Cantonal Hospital St Gallen,St.Gallen,Switzerland:Department of Urology.Sant'AndreaHospital-Sapienza University.Rome.Italy:Department of Urology.Uniklinik Koln.Cologne.Germany:Department of Urology.University Medical CenterHamburg-Eppendorf.Hamburg Germany:*Department of Urology.Faculty of Medicine University of Coimbra.Clinical Acodemic Center ofCoimbra.Coimbra.Portugal:'Department of Surgery.Urology Unit.Fondazione IRCCS Istituto Nazionale dei Tumori.Milan.Italy:"Department of Oncology.Freeman HospitalNHS Foundation Trust,London.UK:Department of Oncology.Akershus University Hospital.Lorenskog Norway:Department of Oncology.The Cancer Clinic.St Olav's University Hospital.Trondheim.Norway:PInstitute of Cancer research.London.UKArticle infoAbstractArticle history:Context:Each year the European Association of Urology (EAU)produce a documentAccepted April 3,2023based on the most recent evidence on the diagnosis,therapy,and follow-up of testicularcancer (TC).Associate Editor:Objective:To represent a summarised version of the EAU guidelines on TC for 2023 withJames Cattoa focus on key changes in the 2023 update.Evidence acquisition:A multidisciplinary panel of TC experts,comprising urologists,Keywords:medical and radiation oncologists,and pathologists,reviewed the results from a struc-Chemotherapytured literature search to compile the guidelines document.Each recommendation inGuidelinesthe guidelines was assigned a strength rating.European Association of UrologyEvidence synthesis:For the 2023 EAU guidelines on TC,a review and restructure wereFollow-upundertaken.The key changes incorporated in the 2023 update include:new supportingGerm cell tumourtext regarding venous thromboembolism prophylaxis in males with metastatic germ cellMetastatic diseasetumours receiving chemotherapy:quality of life after treatment:an update of the histo-Relapselogical classifications and inclusion of the World Health Organization 2022 pathologicalRetro