Surgery for Testicular Cancer

Minimally Invasive Approach

At Scott & White, the majority of orchiectomies are performed with minimally invasive techniques. Benefits of minimally invasive surgery include:

  • Better cosmetic result
  • Quicker recovery times, allowing you to:
    • Return to your daily routine sooner
    • Begin future treatment sooner
  • Shorter hospital stay
  • Less pain
  • Less blood loss
  • Lower risk of infection
  • Fewer complications

Not all patients are candidates for a minimally invasive approach. Factors affecting the decision to use minimally invasive techniques include:

  • Tumor size, stage or location
  • Patient obesity and health
  • Prior surgeries

Your Integrated Care Team may recommend the surgical removal of your testicular tumor. Your physician team may recommend other treatments in addition to surgery.

We use minimally invasive techniques whenever possible and appropriate, based on your condition.

Surgical Procedures

Surgery is often the first treatment approach for testicular cancer. In most cases, your surgeon will remove:

  • The tumor
  • The affected testicle
  • Surrounding lymph nodes

Your operation will be performed using one of the following methods:

Your physician will discuss which option is best for you. As with all operations, there are some risks. Your surgeon will discuss those risks with you.

Radical Inguinal Orchiectomy

In this surgical procedure, your urologic surgical oncologist will make a small incision in your groin and remove your tumor and the affected testicle.

Generally, a radical inguinal orchiectomy is recommended to treat all stages of testicular cancer.

Retroperitoneal Lymph Node Dissection (RPLND)

In some cases, your physician may recommend the surgical removal of your retroperitoneal lymph nodes (the lymph nodes in the tissue that lines your abdominal wall and covers most of the organs in your abdomen). You may have this operation at the time of radical inguinal orchiectomy or at a later date.

RPLND is a complex operation requiring the expert skill of an experienced surgical team. The urology surgeons at Scott & White are specialists in the field of genitourinary surgery.


If you wish to have children, discuss options for fertility and family planning with your physician prior to surgery.

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