Radical inguinal orchidectomy, removal of the testicle and spermatic cord through a small groin incision, is the standard first treatment for suspected testicular cancer. The groin (rather than scrotal) approach is important: it removes the testis with its lymphatic drainage intact, giving the best oncological outcome. Testicular cancer is highly curable, particularly when treated promptly.
TREATMENTS
Radical Inguinal Orchidectomy
When Is Orchidectomy Recommended?
• A suspicious mass within the testicle on ultrasound, usually with tumour blood markers (AFP, hCG, LDH) checked beforehand
• Treatment is prioritised urgently, typically within < 2 weeks due to quick progression
• Occasionally for benign conditions (a painful, non-functioning or chronically infected testis), where a simpler scrotal approach may be used instead
Important Considerations Before Surgery
• Sperm banking: Fertility preservation is discussed and may be arranged before surgery if possible
• Testicular prosthesis: A silicone prosthesis can be placed at the same operation or later, entirely your choice.
• The remaining testicle: Usually maintains normal testosterone levels and fertility.
Risks and Considerations
All procedures carry risks, which your surgeon will discuss with you in detail. These may include:
• Bruising or a blood collection in the groin or scrotum
• Infection of the wound
• Numbness around the incision or upper inner thigh
• Hormone or fertility effects are uncommon when the other testicle is normal
Recovery at a glance: Day surgery; avoid heavy lifting for 2–4 weeks.
1
Urgent Assessment
Ultrasound, tumour markers and staging scans are arranged rapidly, with surgery prioritised < 2 weeks.
2
Groin-Approach Surgery
Through a small inguinal incision, the testis and spermatic cord are removed intact — protecting the natural lymphatic pathways.
3
Fertility and Prosthesis
Sperm banking is arranged beforehand if possible, and a prosthesis can be placed at the same procedure.
4
Pathology and Follow-Up
Results may be discussed in a multidisciplinary team meeting. Many men need surveillance only; others benefit from further chemotherapy or surgery, guided by stage and markers.
Our Approach
