Surgery for testicular cancer is the first type of treatment done for teratoma or seminoma. The process of removing the testicles through surgery is called as orchidectomy. It also enables the physicians to come to exact conclusions. Normally both the testicles might not be affected by cancer that only one testicles can have testicular cancer. Very rarely men are affected by testicular cancer on both the testicles. Hence a small biopsy might be conducted even on the testicle that is not affected by cancer.
Biopsy of the testicles is normally done by cutting open the scortum’s skin and by taking cells in small samples from the testicles. When there are no symptoms present there might not be any treatment needed for the unaffected testilces but if symptoms are present them a slight radiotherapy dose might be given. Normally doctors would replace the affected testicles with false ones known as prosthesis for normal appearance of the scrotum. After surgery for testicular cancer, the person’s fertility and erection might not get affected as long it is done on one testicles alone and its removal.
Radical inguinal orchiectomy is a surgery done for testicular cancer patients for removing the testicles affected by cancer. The spermatic cord which is attached to the abdomen from the testicle is cut and the surgeon who performs the surgery takes special care not to spread the cancer cells to other organs or places of the body. Normally all testicular cancer stages are treated using this kind of surgery. Retroperitoneal lymph node dissection is another type of surgery for testicular cancer which normally depends on the stage and kind of cancer.
Not all patients would undergo this type of surgery as they might be monitored using CT scans or by doing clinical examinations often after the surgery of the testicles. But in some patients the lymph nodes at the abdomen’s back might have to be removed during the first type of surgery or after that as they might have got damaged or affected by cancer. This is a main type of surgery where a big incision is made for removing the lymph nodes. Patients might experience temporary complications like wound infections or bowel obstruction after the surgery. Only experience doctors might be able to conduct this type of surgery for testicular cancer.
Laparoscopic surgery is another kind of surgery for testicular cancer in which a lighted, narrow tube will be inserted by the doctors for operating without creating a big scar or incision. Normally after this type of surgery patients recover quickly but doctors are still unsure about the effectiveness of this procedure.
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