Malignant and benign tumors

Testicular cancer removal process step by step

Everyone seeks to get rid of the nightmare of testicular cancer and return to life normally without worry and anticipation for the future due to fears of infertility or serious cancer complications that may reach other organs close to the testicle.

The testicular cancer operation is considered the first option in treatment. To get rid of the cancerous cells, the operation is successful in a large percentage, and the operation for testicular cancer is called orchiectomy.

In this article, we shed light on the testicular cancer operation, how to prepare for it, its steps, and patients’ expectations afterward.

Testicular cancer surgery

The testicular cancer operation goes through several stages, we review together the following steps :

Before surgery

The time before surgery is the time of psychological preparation for the testicular cancer operation, as the issue of childbearing is the biggest concern for all men, so the patient prefers to talk to the doctor about this to unload the psychological burden before undergoing surgery.

We explain some important tips for the patient before undergoing the testicular cancer operation :

  • Mental and physical preparation for at least one month before surgery.
  • Confirmation of a relative or friend to accompany the patient on the day of the operation and while leaving the hospital.
  • Do not wear valuables and leave them at home.
  • Wear loose-fitting clothes.

Testicular cancer surgery

This surgery is called a radical inguinal orchiectomy. The surgeon cuts a small cut above the pubic area, then removes the testicle from the scrotum. The surgeon also removes the tumor along with the spermatic cord and all the surrounding blood and lymph vessels to prevent the spread of cancerous cells again to one of the organs near the pelvis.

In some cases, surgeons (depending on the state of the cancer) resort to removing the lymphatic vessels located behind the abdominal cavity or peritoneum, and this surgery is known as retroperitoneal lymph node dissection. Separate to remove these vessels, the RPLND procedure requires an experienced surgeon due to its difficulty and complexity.

Laparoscopic testicular cancer surgery

Endoscopy can be relied upon in the procedure of testicular cancer surgery. The surgeon removes the lymph nodes through small openings in the skin of the abdomen through the endoscope and long surgical tools without entering the surgeon’s hand inside the patient.

The laparoscopic testicular cancer operation is characterized by the fact that the patient recovers quickly compared to normal surgeries, the pain is less, and the patient returns to his normal life faster.

The disadvantage of laparoscopic testicular cancer surgery is that it is not as safe and effective as normal surgery in removing cancerous tumors from the lymph nodes. In many cases, doctors recommend chemotherapy after laparoscopic testicular cancer surgery.

How long does testicular cancer surgery take ?

The testicular cancer operation takes about half an hour, after which the patient is transferred to the recovery room until the effect of anesthesia ends. You can leave the hospital on the same day of the surgery or stay overnight and be discharged the next day.

Risks of testicular cancer operation

There are some side effects and risks resulting from a testicular cancer operation. Here are some of these risks :

Risks of orchiectomy

Removing a single testicle does not usually affect a man’s fertility, erection, and sex. Still, in the case of the removal of both testicles, these risks appear :

  • No sperm production.
  • Decreased production of testosterone.
  • Decreased sexual desire.
  • Fatigue, exhaustion and loss of muscle mass.

Lymph node dissection risks

There is no significant risk of retroperitoneal lymph node removal. These effects include :

  • Intestinal obstruction.
  • Leaving a large scar on the abdomen after surgery.
  • Risk of retrograde ejaculation.
  • Risk of infection during surgery.
  • Decreased ability to move and get up for some time.

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