Types of surgery for testicular cancer

There are different types of surgery for testicular cancer.

You have surgery to remove your testicle to diagnose your cancer. This is also your first treatment for testicular cancer. 

Your doctor might also suggest an operation to remove some lymph nodes from the back of your tummy (abdomen). This operation is called a retroperitoneal lymph node dissection (RPLND). 

Removing a testicle (orchidectomy)

Removing the testicle is called an orchidectomy or orchiectomy. In some people with very small tumours the surgeon might remove only part of the testicle. But this is very rare. It is called a partial orchidectomy.

Removing lymph nodes (retroperitoneal lymph node dissection)

Lymph nodes Open a glossary item are found in many parts of the body. Cancer can spread to the lymph nodes and make them bigger (enlarged). 

Testicular cancer can spread to the lymph nodes in the back of the tummy. These are called the retroperitoneal lymph nodes.

You might need to have an operation to remove these lymph nodes. The operation is called a retroperitoneal lymph node dissection. This is a large operation. You have the surgery in a specialist centre.

Diagram showing retroperitoneal lymph nodes

Surgery to remove cancer that has spread to other parts of the body

Sometimes testicular cancer can spread to other parts of the body. For example, it can spread to the lungs or the brain. You might have surgery to remove the cancer.

Your surgeon will give you more information if you need to have this specialised surgery.

  • EAU Guidelines on Testicular Cancer

    D Nicol and others

    European Association of Urology, 2024

  • Testicular Cancer

    Al B Barqawi and C J Eule

    BMJ Best Practice, reviewed Jan 2025 (Accessed February 2025)

  • Advances in diagnosis and treatment of testicular cancer

    M Chovanec and L Cheng

    BMJ, 2022

  • Testicular seminoma and non-seminoma: ESMO-EURACAN Clinical Practice Guideline for diagnosis, treatment and follow-up

    J. Oldenburg and others

    Annals of Oncology, 2022. Volume 33, Issue 4, pages 362 - 375

  • Cancer Prinicples & Practice of Oncology (10th edition)
    V T DeVita Jr, T S Lawrence and S A Rosenberg
    Wolters Kluwer 2015

Last reviewed: 
04 Feb 2025
Next review due: 
04 Feb 2028

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