Testicular cancer treatment
Your medical team will advise you on the best treatment for you. They will consider:
- your general health
- the type of testicular cancer you have
- the size of the tumour
- the number and size of any lymph nodes involved
- whether the cancer has spread to other parts of your If testicular cancer does spread, it most commonly spreads to the lymph nodes in the pelvic and lower abdominal regions.
In almost all cases, an orchidectomy is done to remove the affected testicle. If the cancer hasn’t spread, this may be the only treatment you need. However, after the operation, you will need to have regular check-ups and tests to ensure that the cancer hasn’t come back. This is called surveillance.
If additional treatments are needed, they may include chemotherapy, radiation therapy or a combination of treatments to kill any remaining cancer cells or prevent the cancer from coming back. If the cancer does not respond to chemotherapy, you may need further surgery to remove lymph nodes from the abdomen. This is called a retroperitoneal lymph node dissection (RPLND).
Learn more about:
- Fertility concerns
- Radiation therapy
- Retroperitoneal lymph node dissection
Chemotherapy, radiation therapy and RPLND can cause temporary or permanent infertility. If you may want to have children in the future, ask your doctor for a referral to a fertility specialist before treatment starts. You may be able to store sperm for later use (sperm banking).
For more on this, see Fertility and Cancer.
A/Prof Nick Brook, Senior Consultant Urologist, Royal Adelaide Hospital and The University of Adelaide, SA; Gregory Bock, Urology Cancer Nurse Coordinator, WA Cancer & Palliative Care Network, WA; Jason Gray, Consumer; Clin A/Prof Peter Grimison, Medical Oncologist, Chris O’Brien Lifehouse, Royal Prince Alfred Hospital and The University of Sydney, NSW; Dr Tanya Holt, Senior Radiation Oncologist, Princess Alexandra Hospital Raymond Terrace (ROPART), and Senior Lecturer, The University of Queensland, QLD; Caitriona Nienaber, 13 11 20 Consultant, Cancer Council WA.
View the Cancer Council NSW editorial policy.
The information on this page is also available for download.
Coping with cancer?
Speak to a health professional or to someone who has been there, or find a support group or forum
Need legal and financial assistance?
Pro bono services, financial and legal assistance, and no interest loans
Looking for transport, accommodation or home help?
Practical advice and support during and after treatment