In the vast majority of cases, the diseased testicle is removed, normally during a day case procedure in what is known as an orchidectomy. This is a simple operation. You will see a specialist nurse, or your surgeon will discuss the different types of replacement you can have, lots of different shapes and sizes to choose from, to make it look and feel as normal as possible.
After the testicle has been reviewed under the microscope to find out the histological type, normally teratoma or seminoma (or a mixture of the two) then the case will be discussed at an MDT (Multi-disciplinary team meeting) so that your local team can make a joint decision on future care. Key to this will be the histological staging, and radiological staging to see if there has been any spread to local nodes or other organs. Blood tests, the AFP, LDH and HCG (don't worry what they stand for, i have just mentioned it in case you have heard the terms mentioned) will be checked pre and post op, and then the next stage will be either...clinical follow up, where it was caught early and no further treatment is needed except to monitor the blood tests, and also the other testicle (as soon tumours have a tendancy to appear in both), or oncology referral for either chemotherapy, radiotherapy, or both.
The cure rate for testicular cancer is very high, and many tumours, even though which have spread to distant organs can be cured as they normally respond very well to chemotherapy. I wish you all the best. If you have lots of questions, then find your local testicular cancer nurse specialist and i am sure they will be happy to answer them for you.
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