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Removing the testicle (orchidectomy|) allows your doctor to make an exact diagnosis and is usually the first treatment for testicular cancer.
If the cancer is completely contained in the testicle (stage 1|), this operation may be the only treatment you’ll need.
You can find out more about what to expect when you’re having an orchidectomy in our section on diagnosis|.
After chemotherapy|, some men may need further surgery. This happens if a CT scan| shows that the lymph nodes| at the back of the tummy are enlarged (greater than 1cm in diameter).
These nodes may contain cells that could become cancerous in the future. Surgery to remove them is the only certain way of finding this out.
Rarely, these lymph nodes are removed in men with early stage NSGCTs, who prefer to avoid surveillance| or adjuvant chemotherapy, as a way of finding out if the cancer has spread.
Learn more about removing the retroperitoneal lymph nodes, known as a retroperitoneal lymph node dissection (RPLND)|.
After chemotherapy, if there are still signs of cancer in areas such as the lungs, brain or liver, some men may have surgery. These operations are done by experienced surgeons in specialist units. If you need this type of operation, your doctor will talk it over with you.
For answers, support or just a chat, call the Macmillan Support Line free (Monday to Friday, 9am-8pm)
If you have any questions about cancer, need support or just want someone to talk to, ask Macmillan.