Overview

Also known as orchiectomy, 'Testicular Cancer Surgery' is a primary surgical treatment employed by doctors in most cases of testicular cancer to remove the affected testicle by creating an incision in the groin (inguinal approach) of the patient. This procedure is diagnostic and therapeutic, confirming the cancer diagnosis and preventing further spread. Orchiectomy is considered the gold standard for initial management of testicular tumors.

Depending on the extent of disease, additional treatments such as chemotherapy, radiation therapy, or retroperitoneal lymph node dissection (RPLND) may be the best treatment options for the doctors. However, orchiectomy remains the first and most crucial step.

Significance of Orchiectomy

• To remove the cancerous testicle and prevent further growth or spread.
• To confirm the diagnosis through pathology after tumor removal.
• To relieve problems such as pain or swelling in the scrotum.
• To allow for planning further treatment (chemotherapy, radiation, or surgery) if cancer has spread.

Types of Orchiectomy

1. Radical Inguinal Orchiectomy – Standard procedure where the entire testicle and spermatic cord disappear via an incision in the groin.
2. Simple Orchiectomy – Rare, usually performed for non-cancerous conditions or hormone management.
3. Partial Orchiectomy (Testis-Sparing Surgery) – In select cases where the tumor is small, localized, and in patients with a single testicle.

Before Surgery

• Preoperative evaluation includes blood tests, tumor markers (AFP, β-hCG, LDH), imaging (ultrasound, CT scan), and general health assessment.
• Fertility discussion is crucial as surgery may affect sperm production; sperm banking may be a solution.
• Counseling on the prosthesis option for cosmetic purposes, where the placement of an artificial testicle in a patient may be an option.

During Surgery

• The procedure happens under general anesthesia.
• A small incision is made in the groin (not the scrotum) to remove the testicle and spermatic cord.
• Surgery usually takes less than 1 hour.

After Surgery

• Patients generally leave the hospital for home within 1–2 days of their stay.
• Light discomfort, swelling, or bruising may occur, which improves within weeks.
• Pathology results guide the need for further treatments such as chemotherapy, radiation, or RPLND.
• Follow-up includes tumor marker tests and imaging to monitor recurrence.

Benefits & Risks

Benefits

• Definitive removal of the tumor.
• Provides tissue diagnosis for accurate staging.
• Reduces the risk of cancer spread.
• Short and safe surgical procedure.

Risks

• Infection or bleeding at the incision site.
• Swelling or scrotal discomfort.
• Psychological or cosmetic concerns (can be managed with a prosthesis).
• Rarely, infertility or hormonal changes happen if surgeons remove both testicles through the procedure.

Recovery

• Most patients resume light activities within a week.
• Do not engage in strenuous exercise and avoid heavy lifting for 2–4 weeks.
• Emotional and psychological support may be beneficial for coping with body image or fertility issues.
• Long-term monitoring is essential, as recurrence can occur even years later.

Precautions

• Regular follow-up with blood tumor markers and imaging.
• Consider sperm banking before surgery if future fertility is your desire.
• Adopting a healthy lifestyle to support recovery.
• Look for prompt medical intervention in case of signs of infection or severe swelling.

FAQs on Testicular Cancer Surgery

Is orchiectomy the only treatment for testicular cancer?

No. While orchiectomy is the first step, some patients may also need chemotherapy, radiation therapy, or RPLND depending on staging and spread.

Will losing one testicle affect sexual function?

In most cases, no. The remaining testicle can produce enough testosterone for normal sexual function and fertility.

Can I have children after an orchiectomy?

Yes, but fertility may be reduced, especially if further treatments are required. Sperm banking before surgery is necessary.

How long is the recovery after an orchiectomy?

Most men recover within 1–2 weeks for daily activities and 3–4 weeks for strenuous activity.

Can a prosthesis be inserted during surgery?

Yes. Doctors place a testicular prosthesis during orchiectomy for cosmetic and psychological comfort.

Why choose Tender Palm Super-Speciality Hospital for Testicular Cancer Surgery (Orchiectomy) in Lucknow, India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Testicular Cancer Surgery in Lucknow, India. Our experienced uro-oncologists use advanced tools to give accurate results, quick diagnosis, and better long-term care. We offer the best evaluation and treatment support with effective and affordable pricing, making the Testicular Cancer Surgery cost suitable for patients seekingh high quality urologic cancer treatment in Lucknow, India.

To seek an Expert Consultation for Testicular Cancer Surgery (Orchiectomy) in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

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