Testicular Cancer


Frequently Asked Questions

Can testicular cancer kill you?

Current treatments for testicular cancer are very effective. Death from testicular cancer is rare.

What is my prognosis?

Your prognosis is your risk of the cancer growing quickly and/ or coming back after treatment. The type and stage of testicular cancer will help you and your doctor understand this.

How soon do I need to start cancer treatment?

Treatment should be started as soon as possible.

Can I function normally with only one testicle?

With one testicle, most men will still produce sperm and the male sex hormone testosterone. Some men, however, will need medical treatment to restore normal levels of testosterone in the body. It is usually not possible to restore normal sperm production after damage to the testicular tissue. You can have a false testicle (prosthesis) put into the scrotum during the operation. This is sometimes done, for cosmetic reasons only, to give a normal appearance.

Will my cancer treatments affect my fertility?

If you wish to father children after treatment for testicular cancer, you should be offered a semen analysis and cryopreservation of sperm (freezing deposits of sperm samples in a sperm bank). This should be performed before orchiectomy, ideally, but in any case prior to chemotherapy treatment. In the very rare case of testicular cancer on both sides, where both testicles are removed, a man will not be able to father children naturally after surgery. However, sperm banking before treatment still gives a fair chance of success.

My son is worried he might get testicular cancer. What should I tell him?

If testicular cancer runs in your family, tell your doctor. The risk of getting this cancer is higher if a close family member—for example, your father or brother— was diagnosed with it. There are no routine tests to screen for testicular cancer. Your son might want to do a self-examination regularly.

Where is research for testicular cancer happening?

Ask your doctor where research is done in your area or search the registry and results database of publicly and privately supported clinical studies conducted around the world: https://clinicaltrials.gov/

Links to more information

In English: http://www.cancer.gov/cancertopics/pdq/ treatment/testicular/Patient

In Spanish: http://www.cancer.gov/espanol/pdq/tratamiento/ testiculo/Patient

National Library of Medicine

EAU Guidelines