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Surgery

Types of surgery for testicular cancer

There are different types of surgery for testicular cancer.

You have surgery to remove your testicle to diagnose your cancer. This is also your first treatment for testicular cancer. 

Your doctor might also suggest an operation to remove some lymph nodes from the back of your tummy (abdomen). This operation is called a retroperitoneal lymph node dissection (RPLND).

Removing a testicle (orchidectomy)

Removing the testicle is called an orchidectomy or orchiectomy. In some people with very small tumours the surgeon might remove only part of the testicle. But this is very rare. It is called a partial orchidectomy.

Read more about surgery to remove your testicle

Removing lymph nodes (retroperitoneal lymph node dissection)

are found in many parts of the body. Cancer can spread to the lymph nodes and make them bigger (enlarged). 

Testicular cancer can spread to the lymph nodes in the back of the tummy. These are called the retroperitoneal lymph nodes.

You might need to have an operation to remove these lymph nodes. The operation is called a retroperitoneal lymph node dissection. This is a large operation. You have the surgery in a specialist centre.

Diagram showing retroperitoneal lymph nodes.

Read about surgery to remove retroperitoneal lymph nodes

Surgery to remove cancer that has spread to other parts of the body

Sometimes testicular cancer can spread to other parts of the body. For example, it can spread to the lungs or the brain. You might have surgery to remove the cancer.

Your surgeon will give you more information if you need to have this specialised surgery.

Find out what happens before and after surgery

Last reviewed: 04 Feb 2025

Next review due: 04 Feb 2028

Before your operation for testicular cancer

Before your operation, you have tests to check your fitness and you meet members of your treatment team.

On the day of surgery for testicular cancer

There are things you need to do before you go to the theatre for your operation. Your nurse and surgeon will ask you questions and make sure you are ready for your operation.

After surgery for testicular cancer

Your recovery depends on the type of operation you have and your general health.

Problems after surgery for testicular cancer

There is a risk of problems or complications after any operation. Many problems are minor but some can be life threatening. Treating them as soon as possible is important.

Treatment for testicular cancer

You usually have surgery. You might have chemotherapy or radiotherapy. This depends on the stage and type of your testicular cancer.

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