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Inguinal orchidectomy

This procedure is performed to remove a testicle involved by cancer.  Testicular cancer is quite rare and usually occurs in young men between the ages of 15 and 35.  A second peak of age is seen in men between 60 and 70.

The procedure is performed through a small incision in the groin and the testicle and its attached blood vessels and the vas are delivered, clamped and removed in a way that prevents any spread or contamination of the cancer in the wound.  The operation is generally safe.

Risks include bleeding, infection, pain and sometimes altered sensation in the skin below the incision or on the scrotum due to small nerves, which pass through this area.

Recovery from the operation is usually rapid and the patient can be discharged the next day. Patients should not perform strenuous activity for 4-6 weeks after surgery to avoid development of a hernia in the wound. Patients can drive after a few days if comfortable. Fertility is usually normal provided the other testicle is normal.  Men should not have any trouble with fathering children (unless chemotherapy treatment is given later) and testosterone levels usually remain normal with one testicle as well.

After the surgery patients usually have CT scans to check whether the tumour has spread or not and based on the results from the pathology analysis, patients are seen by an oncologist to discuss further treatment in the form or chemotherapy or radiotherapy if necessary.