Recovery After Testicular Cancer Surgery: What to Expect | NU Hospitals Bangalore  

Testicular cancer is the most common cancer in men aged 15-35. This rare cancer affects about 1 in 1,00,000 men in India.

Though this is uncommon, testicular cancer has the highest success and recovery rates.

Most testicular cancer cases involve a testicle removal surgery called orchiectomy. Understanding the recovery phases post-surgery is important. 

This helps you make an informed decision about the recovery journey, support and post-surgery care information.

Read on as we uncover what recovery after testicular cancer surgery looks like.

Overview of Testicular Cancer Surgery and Recovery Timeline

We at NU Hospitals, Bangalore (Bengaluru), understand how this situation can be overwhelming, dealing with testicular cancer, finding the best hospital, and thinking about recovery. It is all very stressful. 

This is why we are here today to answer all your doubts and support you every step of the way.

Types of Surgery: Orchiectomy 

The primary and gold standard surgery for testicular cancer is orchiectomy. 

Orchiectomy

• This surgery involves the removal of the testicle (affected one).

• This is usually the first and primary step in treating testicular cancer.

• Surgery is performed under spinal anaesthesia. 

• Stay in the hospital usually for 2 days

Retroperitoneal Lymph Node Dissection (RPLND)

• This is a surgical procedure to remove lymph nodes in the abdomen in cases of non-seminomatous testicular cancer.

• Often used to check for cancer spread or the removal of affected lymph nodes.

• Surgery is performed under general anaesthesia. 

• Stay in the hospital usually for 1 week

Managing Pain and Physical Discomfort Post Surgery

You might experience slight discomfort and pain, which can be easily managed through medication. Though very rare, you might experience some side effects like swelling or bruising.

Common Side Effects Like Swelling, Bruising, and Pain

It is quite rare that you might face any side effects, but as with any other surgery, you might encounter:

•  Swelling

The scrotum gets swollen due to incisions.

•  Bruising

There might be bruises for 2-3 weeks and subside on their own

•  Pain

It is common to experience pain for a few days, but you can see improvement gradually.

Pain Relief Options and Home Care Tips

To manage pain and discomfort:

• Take your prescribed medication on time 

• Do not take more than the prescribed dosage

• Do not self-medicate

• Apply a cold compress to the scrotum to reduce swelling

• Wear breathable clothes

• Wear supportive garments

• Do not apply pressure on the surgical site

• Make sure you rest properly, as this promotes healing.

Activity Restrictions and Returning to Daily Life

You can return to your daily activities as advised by our specialists. We advise following every instruction strictly and cautiously.

When Can You Resume Work, Exercise, and Normal Activities?

•  Work

You can return to a desk job or college within 2-3 weeks

High-strenuous jobs require more time

• Exercise

Start with a simple walk and yoga upon clearance from the doctor

Avoid heavy workouts and lifting for at least 4-6 weeks.

•  Driving

You can resume driving 1 week after surgery, after the catheter is removed. 

If you are still on pain management medications, you will be advised not to drive.

Importance of Avoiding Heavy Lifting and Strenuous Exercise

If you engage in strenuous activities and intense physical activity too soon before clearance, it can lead to:

•  Increase complication risks

You can be prone to bruising or bleeding or hernias.

•  Delay healing

The recovery will be prolonged with unhealed wounds

Monitoring and Follow-Up Care During Recovery

To ensure proper healing, we advise you to attend all your follow-ups and regular check-ups.

Scheduled Checkups, Imaging, and Blood Tests

• Physical examinations

Our experts will examine the incision and monitor your overall health. 

• Imaging tests

You would be advised to take CT scans or an Ultrasound to check for recurrence or regrowth of cancer. 

• Blood tests

To check for testicular tumour markers

Signs of Complications to Watch For and When to Seek Help

You should consult our experts if you notice: 

• Severe pain

If pain management meds are not working for a long time. 

• Infection signs

Fever, redness, bruising or discharge from the incision site indicates the presence of infection. 

• Persistent swelling of the scrotum

If swelling doesn't go away within a few days, it doesn't improve with ice packs and rest.

Emotional and Psychological Support Throughout Recovery

We understand that this whole process is overwhelming. It is normal to experience varied emotions during recovery. Be assured that we are with you throughout your recovery period.

Coping with Physical Changes and Body Image

• Body image concerns

  • Losing one testicle might affect self-esteem and body image
  • Involved in body positivity classes or videos
  • Be proud of yourself, you just fought cancer 

• Hormonal changes

  • This may lead to mood swings and fatigue.
  • Don't be alarmed, it's a part of recovery

Support Groups and Counselling Services Available at NU Hospitals

 We at NU Hospitals, Bangalore (Bengaluru) offer:

• Counselling services

We have our counsellors helping you through the process, helping you navigate your emotional challenges as well. We will make sure you are emotionally and physically healthy pre- and post-surgery 

• Support groups

We would also connect you with some support groups, where you are heard and see