Can testicular cancer be cured

Testicular cancer is not only a devastation to male friends, but also a devastation to a family. With the increasing number of patients with testicular cancer in recent years, testicular cancer has become the primary problem threatening men's health. Therefore, the treatment of testicular cancer is very important. It is our common wish to cure every patient. So, can testicular cancer be cured? Let us find out below.

There are generally several methods for treating testicular cancer, which have good effects on curing patients with testicular cancer at different stages.

1. Orchiectomy

Applicable to any type of testicular tumor, the emphasis is that radical orchiectomy should be performed via the inguinal route.

The method is: the operation uses an oblique incision in the groin to reach the top of the scrotum, separate the spermatic cord, ligate and cut the spermatic cord and blood vessels at the internal inguinal ring, and then remove the testicle and its tumor. Simple orchiectomy often cannot achieve a complete surgical removal effect, and retroperitoneal lymph node dissection is required to achieve the purpose of radical cure. Patients who accept this treatment method may worry that removing a testicle will affect their sexual ability and may cause infertility.

However, men with only one healthy testicle can still have normal erections and produce sperm. Therefore, surgical removal of one testicle does not make a man impotent or infertile. During the surgery, doctors can place an artificial testicle in the scrotum. The artificial testicle weighs and feels like a normal testicle, and an uninformed person cannot tell the difference between an artificial testicle and a natural testicle. Some lymph nodes deep in the abdomen are also removed. Although this surgery does not affect a man's ability to have normal erections and orgasms, it can cause infertility because it may prevent ejaculation.

2. Retroperitoneal lymph node dissection

Since non-seminomatous germ cell tumors such as embryonal tumors and teratomas are not sensitive to radiation, retroperitoneal lymph node dissection should be performed after orchiectomy, which can provide a chance of cure for cases in stages I and II.

There are many surgical methods, each with its own advantages and disadvantages. We advocate the use of a midline incision from the xiphoid process to the pubic symphysis for retroperitoneal lymph node dissection. The resection range includes the upper limit to 2 cm above the bilateral renal pedicles and the renal pedicles, the abdominal aorta and the inferior vena cava to the iliac blood vessel intersection and the upper 1/3 of the ipsilateral iliac blood vessel, both sides to the bilateral ureters and spermatic cord, and all lymph nodes, fat and pedicle tissue in the ipsilateral kidney fascia.

Regarding the timing and operation of retroperitoneal lymph node dissection, it is generally believed that:

① Operation time: performed at the same time as orchiectomy or two weeks later.

② Lymph nodes should be removed in anatomical order, and an en bloc removal should be performed.

③ When dissecting lymph nodes next to the large retroperitoneal blood vessels, be cautious and gentle to avoid damaging the large blood vessels, and do not over-twist the renal pedicle vessels.

Testicular cancer is a very serious disease for men, but patients with this disease must receive proper treatment, so it is very important to understand the treatment methods for this disease. Most testicular cancers can be cured, but there will be some side effects during treatment, which depends on the type of treatment and varies from person to person. If testicular cancer is detected early, the treatment will be smooth, so there will not be major side effects during treatment, and the cure rate will be high.