Testicular Cancer – Patient Outcomes [video]

Video author: Streaming Well
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Video Transcript
Does everyone diagnosed with testicular cancer lose their testicles?

Mr. Christopher Eden: It's imperative that you need to remove the testis which is abnormal, so you'd certainly remove a testis. It's only in a very small percentage of patients where you have concerns regarding the other side. You may even consider removing the second testis, but it would only be after a biopsy had already shown that there was a problem with the other testis.

Some men feel less masculine after surgery. Do you have any advice for them?

The feeling of being less masculine after having a testis removed is really psychological. It's certainly not hormonal. If you remove one testis, then your hormonal level, in other words, your level of testosterone, will be completely normal. If it is a problem being lopsided, in other words, not having fullness on one side of the scrotum, and this is particularly the case for younger patients, then you can have a prosthesis or an artificial testis inserted either at the time of testis removal or subsequently.

Can you still have sex after surgery?

There's absolutely no reason at all why you can't have sex after surgery. The erectile mechanism is not related in any way to the testes. You can still have sex after surgery. The erectile mechanism isn't related to the testicles. It is partly related to testosterone production, but there is more than enough testosterone being produced by the testes which is being left behind to have a completely normal testosterone level.

What is the success rate of treating testicular cancer?

The success rate for treating testicular cancer is incredibly high. It's one of the huge success stories of medicine in the 21st century, and the reason for it is because the chemotherapy agents that we currently have are much better than in previous decades and also improvements in radiotherapy techniques. Most patients, even if they have testicular cancer which has spread outside the testes, can look forward to a cure rate in excess of 90%.

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