Most men with testicular cancer have surgery. The type of surgery depends on how advanced the cancer is. Your SCCA surgeon will talk with you in detail about the procedure we recommend for you, why and what to expect.
Typical procedures are:
- Radical inguinal orchiectomy — removing the affected testicle and spermatic cord through an incision in your groin. Surgeons remove the spermatic cord because it can serve as a pathway for cancer cells to travel to other parts of your body.
- Retroperitoneal lymph node dissection — removing lymph nodes in your abdomen, usually through an incision in your abdomen. This is done for more advanced disease.
Removing lymph nodes may affect nerves that control ejaculation, leading to infertility, but this doesn’t affect your ability to have an erection. Surgeons use methods to protect the nerves that control ejaculation (nerve-sparing techniques) when they can.