Treatment
Testicular Cancer

Testicular tumor has high cure rates due to early diagnosis and good response to treatment.

The standard treatment of testicular tumor consists in the removal of the testicle through an incision in the groin. In the same surgery, a testicular prosthesis can be implanted for cosmetic purposes.

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Testicular cancer treatments

The testicular tumor has high cure rates due to good response to surgical and chemotherapy treatments., early diagnosis and uro-oncology uro-oncology treatment.

Orchiectomy

The standard treatment for testicular tumor is radical orchiectomy via the inguinal route. It consists of removing the testicle through an incision in the groin to avoid opening the skin of the scrotum and to avoid the change of the lymphatic drainage that would cause tumor cells to come out.In the same surgery, the implantation of a testicular prosthesis can be performed for aesthetic purposes, which does not contribute extra comorbidity nor deteriorate the oncologic results.

Once the testicle has been totally or partially removed, it is referred to pathological anatomy for examination. Through the analysis we can determine the type of lesion in order to consider further treatment. Although treatment is not usually necessary in early stages of the disease, it is advisable in some types of tumors or if the cancer has left the testicle.

Conservative surgery

Conservative surgery is lumpectomy or excision of the tumor only, preserving the rest of the testicle. This procedure is only indicated in patients with tumors in both testicles or in patients with only one testicle, with normal testosterone levels, as long as the tumor does not occupy more than 1/3 of the testicular volume.

Lymphadenectomy

Retroperitoneal lymphadenectomy consists of removing the metastatic lymph node mass or the lymph nodes surrounding the great vessels (aorta artery, vena cava) up to the renal arteries. Efforts must be made to preserve the ejaculatory nerves.

Chemotherapy

Testicular tumors are very chemosensitive, so good results are obtained with the administration of chemotherapy, even if there is metastatic seeding of the disease. Chemotherapy is administered prophylactically after orchiectomy in high-risk patients or to treat disseminated disease.

Radiotherapy

Radiotherapy is only useful in seminomatous tumors because of their high radiosensitivity.

After treatment, close follow-up with tumor markers, CT and scanning is required to rule out tumor recurrence.

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Testicular Cancer

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They ask us

in the Consultation

What is the treatment for testicular cancer?

First we perform surgery to determine the type of tumor and its local extension. Then, depending on various factors, other treatments may be necessary.

Does it affect my fertility if I have a testicle removed?

This is a possibility, although it is not always the case. Many young men preserve sperm prior to surgery in order to have healthy sperm available when they consider having offspring.

What is a testicular prosthesis?

It is a silicone prosthesis that is placed in place of the testicle so that the aesthetic impact is minimal. They are available in various sizes to place the type of prosthesis more in accordance with the anatomy of each person.

What if my testicular cancer has metastasized?

After surgery for testicular cancer, when we know what type of tumor is affecting you, we will start with systemic treatment. Even with metastases, the testicular tumor is cured in most cases.

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