Key Facts Every Young Man Should Know About Testicular Cancer

By Dr. David Samadi 

Young men need to be aware of the risks and signs of testicular cancer, a disease that disproportionately affects younger demographics. Testicular cancer, though relatively rare compared to other cancers, has seen a concerning uptick in diagnoses globally over recent decades. In 2024 alone, nearly 9,760 men under 40 will face this diagnosis and around 500 will die from this disease, emphasizing the importance of understanding its nuances, symptoms, and treatment options.

Prevalence and Risk Factors

Testicular cancer stands out as the most commonly diagnosed cancer among males aged 15 to 40. The risk factors for developing this cancer include having an undescended testicle, experiencing abnormal testicular development, personal history of testicular cancer, family history (particularly in fathers or brothers), and ethnicity, with white men being at higher risk.

Importance of Self-Examination

Regular self-examinations of the testicles are vital for early detection. Men should be vigilant for any abnormalities such as painless lumps or swelling, along with symptoms like abdominal or groin discomfort, scrotal swelling, testicular pain, or even back pain. Prompt consultation with a healthcare professional upon noticing such changes significantly improves the chances of successful treatment.

Treatment Modalities

Surgery, specifically an inguinal orchiectomy to remove the affected testicle, remains the primary treatment for testicular cancer. Depending on the extent of the disease, additional surgeries may be necessary to remove tumors that have spread. Chemotherapy or radiation therapy might follow to eradicate any residual cancer cells.

Fertility Considerations

Treatment for testicular cancer, particularly chemotherapy or radiation therapy, can impact fertility by temporarily or permanently reducing sperm count. Men desiring biological children can explore options like sperm banking before undergoing treatment. It’s worth noting that fertility can still be maintained if one testicle remains unaffected.

Sexuality and Body Image

Despite concerns, testicular cancer typically does not significantly impact sexuality. Removal of one testicle does not hinder the production of essential hormones or sexual function. However, individuals apprehensive about body image post-treatment can discuss options like prosthetic testicle implantation with their healthcare provider.

By increasing awareness about testicular cancer and empowering young men with knowledge about its detection, treatment, and potential impacts, we can enhance early diagnosis rates and improve outcomes for those affected by this disease. Vigilance, proactive healthcare practices, and open communication with healthcare providers are crucial in effectively combating testicular cancer.

 

Dr. David Samadi is the Director of Men’s Health and Urologic Oncology at St. Francis Hospital in Long Island. He’s a renowned and highly successful board certified Urologic Oncologist Expert and Robotic Surgeon in New York City, regarded as one of the leading prostate surgeons in the U.S., with a vast expertise in prostate cancer treatment and Robotic-Assisted Laparoscopic Prostatectomy.  Dr. Samadi is a medical contributor to NewsMax TV and is also the author of The Ultimate MANual, Dr. Samadi’s Guide to Men’s Health and Wellness, available online both on Amazon and Barnes & Noble. Visit Dr. Samadi’s websites at robotic oncology and prostate cancer 911. 

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