Prof. Dr. Gökhan Koç

Testicular Tumor Surgery

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Testicular Tumor Surgery

Testicular Tumor Surgery

Testicles, which are located in the testicle sac and consist of two parts, right and left, are the places where male reproductive cells, sperm, are produced. The testicle, which also produces testosterone, the male sex hormone, is one of the most important components of the male reproductive system in the body.

Testicular cancer, also known as testicular tumor, is a type of cancer found in the testicles located below the penis.

This type of cancer is generally more common in young men and can sometimes affect one testicle, while in other cases, it may affect both testicles. Therefore, tumors are removed for treatment. It is considered a significant disease.


How is Testicular Tumor Surgery Performed?

Procedure Details

  • Operation: Testicular Tumor Surgery
  • Procedure: A incision is made in the groin area, and the testicle and spermatic cord are removed.
  • Duration: 30 Minutes
  • Hospital Stay: 1 Day or Same-Day Discharge
  • Anesthesia: Spinal Anesthesia
  • Recovery Time: 2-3 Days
  • Return to Work/School: 7-10 Days
  • Scarring: Yes
  • Pain Duration: 24 Hours

As with all types of cancer, early diagnosis is crucial for testicular cancer. If a mass is detected in the testicle, it should be considered testicular cancer until proven otherwise, and diagnostic procedures should be conducted accordingly.

Once a tumor is detected in the testicle, its spread is observed. In the majority of cases, the tumor is found in only one testicle.

Testicular tumor surgery involves making a small incision (about 4 to 6 cm) in the patient's groin under local or general anesthesia, and removing the affected testicle. Depending on the type and stage of the tumor, chemotherapy or radiation therapy may be required.

Sometimes, the tumor may spread to the lymph nodes around major blood vessels in the abdomen. If chemotherapy fails to shrink these masses, they may also need to be removed for pathological examination through an operation known as retroperitoneal lymph node dissection.

Testicular tumors are rare types of tumors that can often be completely removed, and patients show recovery. However, complications can occur, and if the tumor cannot be removed, chemotherapy may be required in the post-surgery period.

Cosmetic issues may arise due to the absence of the testicle and the incision in the groin, but a prosthetic testicle can be implanted as a replacement. Healing of the surgical scar is quick, and it does not leave a permanent mark. One of the most commonly asked questions after surgery is whether a patient can have children.

The answer is that if one testicle is removed, it is still possible to have children with the remaining testicle. However, chemotherapy drugs used during the treatment can cause infertility.

Therefore, it is strongly recommended that patients diagnosed with testicular cancer undergo sperm freezing before surgery if they plan to have children in the future. It is essential to maintain healthy communication with your doctor regarding potential additional treatments after surgery.


What You Should Know About Testicular Tumor Surgery

Testicular tumors primarily affect men between the ages of 20 and 40. They are usually detected through a palpable mass in the testicle. In such cases, a urology specialist should be consulted without delay.

If testicular cancer is suspected, physical examination, blood tests, and testicular ultrasound are usually decisive for diagnosis. It can sometimes be confused with testicular infection called orchitis, but some forms of orchitis can also lead to testicular cancer.

As with any cancer, early diagnosis and treatment are critical in testicular tumors. Any patient suspected of having testicular cancer should be quickly operated on, and depending on the situation, the affected testicle should be removed (Orchiectomy).

The purpose of testicular tumor surgery is to remove the entire testicle to prevent the growth and spread of cancerous cells. However, if the patient has only one testicle, efforts should be made to preserve the organ and only remove the affected part of the testicle.

In the event of chemotherapy or radiation therapy later, sperm freezing (cryopreservation) should be recommended to all patients who may want children in the future. This ensures that healthy sperm are preserved for future use.

The surgery involves making an incision of about 4 to 5 cm in the groin area. The testicle, along with its connecting vessels and spermatic cord, is removed.

After recovery from the surgery, if the patient experiences psychological discomfort due to the absence of the testicle, a prosthetic testicle may be necessary.

When surgeries are required, it is important to perform them efficiently and quickly to reduce the risk of complications. Tumor surgery is a valuable option for treating cancers that do not respond to other therapies.

Most of the time, the surgery is successful, but it is essential to educate and raise awareness about testicular cancer in order to make quick decisions about your future.


Prices for Testicular Tumor Surgery in Izmir
Prices for testicular tumor surgery in Izmir may vary depending on the type of surgery, the treatment plan, the hospital, and the doctor’s expertise. For more information, feel free to contact us.


Frequently Asked Questions

How Long Does Testicular Tumor Surgery Take?
Testicular tumor surgery typically lasts 15 to 20 minutes, performed under general or regional anesthesia. Patients are usually discharged the same day.

How is Testicular Tumor Diagnosed?
Testicular tumors are typically diagnosed through scrotal ultrasound, which has nearly 100% diagnostic sensitivity. Blood tests for tumor markers are also conducted to gather more information about the tumor.

How is Testicular Tumor Treated?
Testicular cancer is one of the most treatable cancers, with treatment often involving surgery, radiation therapy, and chemotherapy either individually or in combination. Surgery to remove the affected testicle is usually the first step, followed by additional treatments if necessary.

Is Testicular Tumor Cancer?
Testicular tumors are a form of cancer, making up about 1% of all male cancers. They are most common in men aged 20-35 and are typically unilateral, although in some cases, they can affect both testicles.


References

  • Cancer.org Testicular Cancer Treatment
  • Büyükünal, E., & SN, B. (2017). A Study on the Relationship Between Undescended Testicles and Adult Testicular Tumors. Journal of Pediatric Surgery, 31, 71-75.

Contact

Yeni Girne Blv. 1825 Sk. No:12 Karşıyaka/İZMİR