A 44-year-old man came to the clinic with complaints of secondary infertility. Medical history Year 2009 The patient had primary infertility issues. But he had no medical history of testicular trauma, inguinal scrotal surgery, cryptorchidism, or professional exposure to tobacco, alcohol, or drug consumption. Semen analysis: 5.03 mg/L of testosterone and 1.0 IU/L of FSH. Ureaplasma urealyticum infection was observed in spermoculture.

· Scrotal USG: Right testis was normal; left testis had a left hypoechoic polylobulated intratesticular mass (30 × 16 mm) including numerous septa and showed high vasculature in Doppler examination. He was prescribed 200 mg ofloxacin twice/day for 15 days. In 2010, he had a baby boy out of spontaneous pregnancy. Between 2009-2014, the patient had no follow-up for the intratesticular mass in his left testis. Year 2014 The patient came to the clinic with…