Surgical Treatment

University Hospitals Seidman Cancer Center and the Urologic Oncology Center Utilizes Advanced Surgical Procedures to Treat Testicular Cancer

UH Seidman Cancer Center team of surgeons leads the nation in utilizing effective surgical treatments for genitourinary cancers, including testicular cancer. From diagnosis to recovery—our team of physicians will explain each detail of the cancer treatment process to the patient and his loved ones.

Testicular Cancer Surgical Procedures

Surgery is often used to treat testicular cancer. Two common surgical procedures are:

  • Radical inguinal orchiectomy: This type of surgery, which removes the affected testicle(s), is used to diagnose and treat all stages of testicular cancer. During the procedure, the physician makes an incision in the groin and removes the testicle(s) from the scrotum through the opening. Another incision is then made through the spermatic cord that attaches the testicle to the abdomen. A UH Seidman Cancer Center pathologist then examines the tissue under a microscope. Following this procedure, men may have an artificial testicle, or prosthesis, placed in the scrotum. The implant has the weight and feel of a normal testicle.
  • Retroperitoneal lymph node dissection (RPLND): Testicular cancer typically spreads via a predictable route through the lymph nodes, to the lungs, and then to the liver, brain and other areas of the body. The affected lymph nodes are called retroperitoneal lymph nodes, and are located behind the major organs in the abdomen, between the kidneys and along the vena cava and aorta. The dissection is performed when a patient:
    • Has Stage I nonseminoma: In this instance, lymph nodes may be removed to determine if the cancer cells are gone. If cancer is still apparent, the physician may perform surgery or prescribe a short course of chemotherapy.
    • Has Stage II nonseminoma: During this stage, the cancer has spread to the lymph nodes. The physician may utilize surgery to remove the affected nodes.
    • Completes chemotherapy, but the treatment leaves behind a teratoma: This type of tumor may develop into another form of cancer. The physician may want to remove the teratoma to mitigate cancer risk.

Additional Therapies

For patients whose cancer has spread beyond the testicles, additional surgery, chemotherapy and/or radiation may be necessary.

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