Patients presenting with testicular lump initially undergo ultrasound scan and blood tests (tumour markers). On ultrasound, if there is high suspicion of testicular cancer, they are counselled for radical orchidectomy. Removing the testicle is usually the first treatment for testicular cancer, followed by surveillance, or chemotherapy by oncology colleagues.
Radical Orchidectomy is usually performed under general or spinal anesthetic and usually takes around 40-50 minutes. The surgeon makes an incision in the groin and cuts the spermatic cord to remove the testicle. In selected cases, an artificial testicular prosthesis is inserted.
The surgeon sends the removed testicle to the laboratory for examination under a microscope