Testicular Cancer

Testicular cancer is one of the commonest cancers in men aged between 20-45 years. Although the incidence of testicular cancer is increasing in Western society, it is considered one of the most curable. 

Risk Factors:

• Age (20 – 45 years)
• Race (Up to three times more common in Caucasian males)
• A history of undescended testes (when a testicle remains in the abdomen or groin rather than moving down into the scrotum)
• Family history – having a brother or father who had testicular cancer
• Fertility problems
• Presence of precancerous lesions
• Weakened immune system
• As a rare complication of mumps orchitis (painful swelling of testicles associated with mumps)

Early detection signs:

The commonest symptom in men with testicular cancer is the presence of a hard lump or swelling on one of the testicles.
Other symptoms can include:

• An uncomfortable sensation or heaviness in the scrotum
• A discomfort or pain in the testicle that can come and go
• An ache in the groin or lower abdomen
• An increase in the size of the testicle

These symptoms don't always mean testicular cancer, but it is important that any of these symptoms are properly assessed by an expert .

Symptoms of advanced testicular cancer can include:

• Breast tenderness and / or enlargement
• Feeling tired 
• Back pain
• Shortness of breath 
• Loss of weight

Fortunately the treatment of testicular cancer is usually very successful but does depend on the type of cancer and if it has spread.

Surgery to remove the affected testicle is the main treatment. Depending on the type and extent of the cancer other treatments such as chemotherapy and radiotherapy may also be used. Sometimes chemotherapy is given before surgery to shrink the tumour first. These treatments if required are given by specialist cancer doctors called oncologists.

Testicular tumours and their treatments can affect fertility so you will be given the opportunity to store sperm before undergoing treatment.

Following surgery some men are concerned about the cosmetic appearance of their scrotum with one remaining testicle. During your consultation it will be discussed with you if you want an artificial testicle inserted during your surgery to give the scrotum a more normal appearance.

Consultation with Mr Brown:

• Includes a detailed history concerning your symptoms
• A physical examination
• Please note that some investigations and tests (including blood tests) would be billed in addition to your consultation

Further investigations may include blood tests and an ultrasound scan of the scrotum.

Once a diagnosis is made then a further consultation is arranged to discuss all the therapeutic options before undergoing treatment.

Mr Gareth Brown has a special interest is managing men with testicular problems. In his clinic at Vale Healthcare he is able to provide expert evaluation and surgical treatments of testicular problems.