In short
The first treatment is almost always surgery to remove the affected testicle. Some men then have chemotherapy or, less often, radiotherapy, depending on the type and stage. Surveillance with scans and blood tests is used when the chance of leftover cancer is low.
A specialist germ-cell team plans treatment. Seminoma and non-seminoma are treated slightly differently. Both have excellent outcomes in the UK.
What is an orchidectomy?
The testicle is removed through a groin incision. A prosthesis can be offered. You can usually go home the same day or the next.
When is chemotherapy used?
If markers stay up, or scans show spread to lymph nodes or lungs, short courses of chemotherapy are highly effective. Hair loss and fertility effects should be discussed before the first cycle.
What follow-up looks like?
Blood tests and CT scans continue for years because late relapse is uncommon but possible. Attend the appointments even when you feel well.
What are the key takeaways?
- Surgery comes first for almost every patient.
- Chemotherapy still cures most men with spread.
- Early-stage survival is over 98%.
Care like this is out of reach for millions
The diagnosis, screening and treatment described here are routine in the UK. In Pakistan, Indonesia and Malaysia, poverty puts them out of reach — so a treatable cancer too often becomes a fatal one. World Aid Network funds treatment through locally-licensed oncologists for patients who cannot pay.
Frequently asked questions
Will I need testosterone after surgery?
Usually not if the other testicle is healthy. Levels are checked if you have symptoms.
Can testicular cancer come back in the other side?
Rarely. You will be taught to check the remaining testicle.
Do you fund chemotherapy overseas?
Yes, when a licensed partner oncologist has recommended a protocol the hospital can deliver.
This guide is general information, not medical advice. It was reviewed by the World Aid Network editorial team for accuracy against NHS and World Health Organization sources. Always speak to a GP or qualified clinician about your own health.