Treating Testicular Cancer


Our Austin urologists develop a treatment plan based on a patient’s history and stage of cancer

After our Austin urologists make a diagnosis of testicular cancer, they perform tests and procedures that stage the cancer. We check to see if the testicular cancer has spread to other parts of the body, and if so, how far it has spread.

Stages of testicular cancer

Staging is very important because it helps determine the best type of treatment. The Urology Care Foundation™ classifies the stages of testicular cancer as follows:

  • Stage 1—cancer is only found in the testicle
  • Stage 2—cancer has spread and is also found in the lymph nodes located in the abdomen
  • Stage 3—cancer has spread to other areas beyond the testicles and abdominal lymph nodes, like the liver and the lungs

Treatments for testicular cancer

When our Austin urologists have staged a patient’s cancer and considered medical history, they develop a treatment plan that will meet each patient’s unique needs. There are four standard treatments or combination of these methods used to treat testicular cancer:

Surgery for testicular cancer

Typically, the first form of treatment is to surgically remove the testicle that contains cancer. In most cases, the testicle will be removed from the scotum, regardless of the stage of the cancer. If a patient is Stage 1, that may be the only treatment necessary, but we will continue to monitor the patient with scans and blood tests. If the patient is Stage 2 or 3, he may require other treatments such as radiation or chemotherapy, as well as surgery to remove some lymph nodes. Laparoscopy may be an option for lymph node removal.

Radiation for testicular cancer

If testicular cancer has spread to the lymph nodes, our Austin urologists may recommend radiation therapy, usually after surgery. Radiation is primarily performed to eradicate any cancer cells that have spread to the lymph nodes.

Chemotherapy for testicular cancer

Another method we use to kill cancer cells is chemotherapy. Laparoscopy may be an option for lymph node removal. Chemotherapy may be used with Stage 2 or 3 patients to help destroy cancer in the lymph nodes or cancer that has spread to other areas of the body.

High-dose chemotherapy with stem cell transplant

When testicular cancer reoccurs after standard chemotherapy, high-dose chemotherapy, accompanied by a stem cell transplant may be necessary. This treatment isn’t needed in most cases of testicular cancer.

Our Austin urologists have the expertise and training to effectively treat testicular cancer. If you are concerned about a lump or mass you have found, or if you have already been diagnosed with testicular cancer, contact us to make an appointment with one of our urologists.