Orchidectomy (testicle removal)

When cancer is suspected the best way to confirm the diagnosis is to remove the entire testicle, an operation called an orchidectomy. This is almost always done under general anaesthetic, though can be also be done with an epidural injection. The testicle is removed through an incision in the groin, and then the cells are examined under the microscope. Subsequent treatment will depend on the type of tumour and whether or not it has spread.

Explains that he did not want to go to sleep for the operation so had an epidural anaesthetic.

Age at interview 39

Gender Male

Age at diagnosis 36

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Some men we spoke to were not clearly informed that they would almost certainly lose the entire testicle. Some were admitted to hospital expecting just to have a biopsy or to have the lump removed. This misconception left these men and their families feeling angry and distressed (see ‘Talking to doctors’).


It is very rare that cancer occurs in both testicles. However, this can happen. One man describes how he had his left testicle and part of his right testicle removed the first time he had surgery. After chemotherapy, and radiotherapy to the right testicle, he eventually had to have the rest of the right testicle removed too.

Describes the first operation and the shock he felt when he had to have the rest of the second…

Age at interview 39

Gender Male

Age at diagnosis 35

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The operation itself is usually quite straightforward. It was described as no worse than a hernia or minor knee operation. It may be done as a day case, but men usually stay in hospital overnight.

Many of the men we spoke to were surprised to learn that the testicle would be removed through the groin area. One described the operation in detail. Another man recalled what it was like to have an anaesthetic. He was pleased that the surgeon had spoken to him immediately after the operation, in the recovery room, reassuring him that the operation had gone well.

Explains the operation in detail.

Age at interview 28

Gender Male

Age at diagnosis 27

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Recalls what it is like to have a general anaesthetic.

Age at interview 33

Gender Male

Age at diagnosis 32

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A few men we interviewed felt very little discomfort after the operation, and if no more treatment was required, they soon resumed normal activities such as swimming. However, most of the men experienced some pain and took two or three weeks to fully recover. One man described how he lay on the sofa during the first week after surgery, with his wife ‘waiting hand and foot’. Another man explained that he wasn’t allowed to lift anything heavy after the operation, and he wasn’t allowed to drive for five weeks. Another man recalled that he was off work for two weeks and was driving after just two weeks.

Recalls that he recovered rapidly after the operation, and asserts that there is nothing to worry…

Age at interview 53

Gender Male

Age at diagnosis 53

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Describes the discomfort he felt, and the wound that had to be dressed by the local nurse after…

Age at interview 32

Gender Male

Age at diagnosis 27

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Recalls that he was advised not to lift heavy objects after the operation.

Age at interview 37

Gender Male

Age at diagnosis 37

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Recalls that he was advised not to drive for two weeks after the operation.

Age at interview 33

Gender Male

Age at diagnosis 26

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After surgery some of the men felt that their self-image and feelings of masculinity had been affected, at least for a while (see ‘Masculinity and self-image’).

How it affects family relationships

Relationships within families can change as the result of illness. Some families find it difficult to talk about cancer or share their feelings. One man...

Further surgery for testicular cancer

Usually, the only surgery that is needed is an orchidectomy (removal of a testicle) (see 'Orchidectomy'). However, further surgery is sometimes needed to remove cancer...