Let your doctor or nurse know straight away if you have swelling, bruising or pain in your tummy after the operation. Fluid can collect on the penis and cause swelling. This swelling usually goes away on its own. Treatment for testicular cancer can affect your sex life but this is usually just for a short while. Surgery to remove the testicle is usually the first treatment for testicular cancer. Find out about surgery, and what to expect in hospital and after your operation.
You usually have surgery and might have chemotherapy or radiotherapy. This depends on the stage and type of your testicular cancer. About Cancer generously supported by Dangoor Education since Questions about cancer? Call freephone 9 to 5 Monday to Friday or email us. Skip to main content. The possible problems depend on the type of surgery you have. Removing a testicle orchidectomy You will have some soreness and bruising for a couple of weeks after your operation.
Some men with high risk or metastatic prostate cancer choose to have their testicles removed in order to decrease the testosterone level by removing the source. Alternatively, men may take a medication to chemically reduce testosterone. Testicular torsion. Each testicle receives blood via the attached spermatic cord. Testicular torsion occurs when the spermatic cord twists, cutting off the blood supply.
Testicular torsion is an emergency. If you feel sudden, severe pain in your testicles, see a healthcare provider immediately. If handled quickly, surgery can repair the damaged testicle and restore the blood supply. If the testicle cannot be saved, it may be surgically removed. Testicular injury.
Because of their location in the scrotum, the testicles are not as well-protected as other organs. As a result, they can be easily injured if there is any trauma to the groin area, such as a stab, kick, or punch.
A man with a severe injury may lose the testicle. The surgeon then removes the entire tumor along with the testicle and spermatic cord.
The spermatic cord contains part of the vas deferens, as well as blood and lymph vessels that could act as pathways for testicular cancer to spread to the rest of the body. To lessen the chance of this, these vessels are tied off early in the operation. Depending on the type and stage of your cancer, lymph nodes around the large blood vessels the aorta and inferior vena cava at the back of the abdomen belly may be removed at the same time as the orchiectomy or during a second operation. This is a complex and long operation.
In most cases, a large incision cut is made down the middle of the abdomen to remove the lymph nodes. RPLND should be done by a surgeon who does this often. Experience counts. In some cases, the surgeon can remove lymph nodes through very small skin incisions in the abdomen by using a laparoscope and other long, thin surgical tools. A laparoscope is a narrow, lighted tube with a small camera on the end that lets doctors see inside the abdomen.
In laparoscopic surgery, after being put to sleep, you're turned onto your side. Several small incisions are made on your abdomen. The laparoscope and surgical tools are put in through the incisions to remove the lymph nodes. The incisions are then closed and you're woken up.
Patients recover much more quickly from this operation than the standard open procedure and are walking soon after surgery.
There's usually less pain and patients are eating sooner. Because of this uncertainty, doctors are more likely to recommend chemotherapy after laparoscopic surgery if cancer is found in the lymph nodes. This procedure is most often used for patients with early-stage non-seminomas to see if the lymph nodes contain cancer.
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