Testicular Cancer Conditions & Treatments

Surgery and additional options to treat testicular cancer.

Patients who have been diagnosed with testicular cancer often wonder whether they will be able to have a normal sex life or have children after treatment.

Our men’s cancers team will work to preserve sexual function as much as possible. We also work with our colleagues at the Center for Reproductive Medicine to preserve reproductive options for our patients.

Types of testicular cancer

The treatments we offer for testicular cancer depend on the type of cancer. There are two main types of testicular cancer: seminomas and nonseminomas.

Seminomas grow relatively slowly. There are two subtypes of seminomas: classical seminomas and spermatocytic seminomas. Classical seminomas are most common in men between 25 and 45. Spermatocytic seminomas are more common in men 55 and older.

Nonseminomas grow faster than seminomas. They’re most common in younger men -- typically from the late teens until the early 40s.

Testicular cancer surgery

The primary treatment we recommend for testicular cancer is surgery to remove the cancerous testicle, known as an orchiectomy. This procedure can affect fertility, so if you plan to father children afterward, talk to your doctor about banking sperm for later use.

We also may need to perform additional surgery to remove the lymph nodes at the back of the abdomen. This is called a retroperitoneal lymph node dissection, or RPLND. For patients with early-stage nonseminomas, this lets us determine if the cancer has spread.

Additional testicular cancer treatments

Your doctor may recommend additional treatment options depending on the type of testicular cancer and if it has spread. These options include:

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