Some procedure can cause permanent infertility before you undergo any procedure, talk to your doctor about sperm banking (freezing sperm before treatment for use in the future). Sperm banking allows you to decide later whether or not you want to have children. Young men don’t often think about having a family when they are facing a diagnosis and treatment for testicular cancer. Sperm banking gives you and your future partner important options.
Surgery is the main treatment for testicular cancer. The surgeon removes the entire testicle (orchiectomy). The lymph nodes near the kidneys are often removed as well. Surgery is done under general anaesthetic. If the cancer has not spread and all of it was removed with the testicle, surgery may be the only treatment you need. It is uncommon for cancer to affect both testicles at the same time, so the healthy testicle remains. After surgery you may have some pain or nausea, or you may not feel like eating. These side effects are temporary and can be controlled. Having one testicle removed will not make you impotent (unable to have an erection) or make you sterile (unable to father children). As long as the remaining testicle is healthy, you will still be able to have a normal erection and usually still be able to produce sperm.
If you have had a testicle removed, you may wish to talk to your doctor about reconstructive surgery to help restore the appearance of the testicle. This is called a testicular prosthesis or implant. The prosthesis is filled with saline and matches the look and feel of the other testicle. It is surgically implanted in the scrotum.