A testicular cancer diagnosis can be a life-altering moment, but with the right guidance and medical care, recovery is highly achievable. Dr. Aditya Sharma, recognised as one of the top urologists in Lucknow, is here to support you every step of the way. With extensive experience and a compassionate approach, Dr. Sharma specialises in providing personalised care that prioritises your well-being and optimal health outcomes.

Understanding Testicular Cancer

Testicular cancer originates in the testicles, which are responsible for producing testosterone and sperm. Although this type of cancer is rare, it is the most common form of cancer among young and middle-aged men. Fortunately, advancements in medical science have made testicular cancer highly treatable, especially when diagnosed in its early stages.

Types of Testicular Cancer

Testicular cancer is classified into two primary types:

Seminoma:

• Known for its slower growth rate.
• Highly responsive to treatments like radiation and chemotherapy.

Non-Seminoma:

• Tends to grow and spread more aggressively.
• Often treated with advanced surgical techniques and chemotherapy.

Early Detection is Key

Recognising the signs and symptoms of testicular cancer is critical to ensuring early diagnosis and treatment. Here are the most common symptoms to watch for:

• A painless lump or swelling in one testicle.
• A feeling of heaviness or discomfort in the scrotum.
• Sudden fluid build-up in the scrotum.
• Pain or a dull ache in the groin, abdomen, or lower back.
• Changes in the size, shape, or texture of the testicles.

If you notice any of these signs, don’t hesitate to seek professional advice. Early detection greatly improves the chances of successful treatment.

Diagnostic Approach

Dr. Aditya Sharma employs a systematic and thorough approach to diagnosing testicular cancer. The diagnostic process may include:

• Physical Examination: A detailed evaluation of the testicles to identify lumps or abnormalities.
• Ultrasound Imaging: Provides a clear picture of the testicles to detect tumours or unusual changes.
• Blood Tests: Measures tumour markers such as AFP (Alpha-fetoprotein) and HCG (Human Chorionic Gonadotropin), which are often elevated in testicular cancer.
• Imaging Scans: CT or MRI scans to determine if cancer has spread to other parts of the body.

Tailored Treatment Options

Dr. Aditya Sharma is dedicated to providing advanced and effective treatment options for testicular cancer. Here are the primary treatment options offered:

• Orchiectomy: An orchiectomy is a primary surgical procedure used to diagnose and treat both early and advanced stages of testicular cancer. This operation involves the removal of the entire affected testicle and the spermatic cord through a small incision in the groin. After surgery, the removed tissue is sent for pathological analysis to determine the cancer stage and cell type. Following the procedure, patients are closely monitored through routine surveillance to ensure the cancer does not return. If one testicle is removed and the other remains healthy, testosterone levels generally stay within a normal range. The remaining testicle compensates by producing sufficient testosterone.
• Testis-Sparing Surgery (TSS): Testis-sparing surgery is an option for select cases, especially when the tumour is small, and tumour marker levels are negative. In this procedure, only the tumour tissue is removed, preserving the rest of the testicle. This surgery is often recommended for men with benign tumours rather than malignant cancer. However, if the tumour is confirmed to be cancerous and the other testicle is functioning normally, TSS is typically not advised. Post-surgery surveillance is crucial to monitor for any recurrence of cancer.
• Radiation Therapy: Radiation therapy is primarily used to treat seminoma, a type of testicular cancer that is more sensitive to radiotherapy. The treatment targets and kills cancer cells in the testicle or nearby lymph nodes.
• Chemotherapy: Chemotherapy plays a crucial role in managing testicular cancers that have spread beyond the testicle or when tumour markers remain elevated after surgery. These drugs travel through the bloodstream to destroy cancer cells, including those that may have spread to lymph nodes. Chemotherapy is also used to reduce the risk of recurrence after surgery. Treatment typically involves one to three drugs administered in cycles lasting three to four weeks.

Impact on Sex Life and Fertility

The removal of one testicle does not usually affect sexual drive or fertility. The remaining testicle often produces sufficient testosterone to maintain normal sexual function. Most men can achieve erections and father children after surgery.

However, treatments like chemotherapy and radiation can temporarily reduce sperm production, which generally recovers over time. Surgical removal of lymph nodes may lead to difficulties with ejaculation, but solutions are available for those experiencing such challenges.

Take the First Step Towards Recovery

Your health is your most valuable asset, and early action can make all the difference. If you’ve noticed any symptoms or are seeking expert care for testicular cancer, don’t hesitate to reach out to Dr. Aditya Sharma.

With his expertise as one of the top urologists in Lucknow, you can trust that you’re in capable hands. Schedule your consultation today and take the first step towards reclaiming your health and confidence.