Depending on the stage and type of your testicular cancer, your doctors may recommend one or more of the following treatment options.
If cancer is found in its earliest stages, or has not spread beyond your testicle or testicles, your doctor may recommend that treatment not start immediately. Instead, you will undergo regular exams, including blood work and imaging scans designed to look for signs that the cancer has changed or spread.
Prevents tumors from spreading or treats testicular cancer that has already spread outside the testicle or testicles. It may be combined with surgery or radiation.
Radical Inguinal Orchiectomy
Surgical removal of one or both testicles, depending on the presence of cancer, as well as the spermatic cord through an abdominal incision. This procedure is the initial treatment for all stages of testicular cancer. Many times, it is the only treatment required. You may choose to have a prosthetic testicle filled with saline inserted during the procedure or at a later date to attain the look of a normal testicle.
Nerve-Sparing Retroperitoneal Lymph Node Dissection (RPLND)
Removes the lymph nodes in your retroperitoneum (the space in the back of your abdomen that holds your kidneys and pancreas) through an abdominal incision. The nerve-sparing surgery is performed by urologic surgeons who are specially trained in vascular techniques. The surgery prevents the cancer from spreading to other areas of your body and protects nerves located near the lymph nodes that control ejaculation.
Post-chemotherapy retroperitoneal lymph node dissection (RPLND) removes lymph nodes in the retroperitoneum after chemotherapy. Testicular cancer typically spreads here through your retroperitoneal lymph nodes. We use this technique to remove any tumors that have spread to the lymph nodes.
Kills cancer cells with high-energy light. Often used to prevent your cancer from returning, or as a primary treatment for seminoma, a specific type of testicular cancer.
High-Dose Chemotherapy with Stem Cell Transplant
Combines chemotherapy with a stem cell transplant to treat testicular cancer that returns after an initial course of chemotherapy. The stem cell transplant allows doctors to use higher doses of chemotherapy to kill as much of the cancer as possible, which can also deplete your body of its own defense cells. The stem cell transplant prevents the infections and bleeding that can occur when bone marrow is damaged. After the high-dose chemotherapy, you receive an infusion of your own stem cells, which grow into healthy blood cells.