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Ask a doctor on the topic of Urology

Which examinations are necessary when there is suspicion of testicular cancer?

Dear Doctor,

My name is Jonas Nitsche and I am reaching out to you because I have noticed some concerning symptoms that lead me to think of testicular cancer. For the past few weeks, I have been feeling a painful lump in my right testicle that seems to be getting larger over time. Additionally, I have the sensation that the testicle as a whole has become bigger and somehow heavier. I also experience occasional pains in the lower abdomen and back, radiating down to the testicle.

These symptoms are causing me great worry and I am wondering if they could be signs of testicular cancer. What tests are necessary in this case to make a proper diagnosis? Should I go directly to a urologist or see my primary care physician first? What treatment options are available for testicular cancer and what are the chances of recovery?

I would greatly appreciate it if you could help me in this difficult situation and guide me through the necessary steps to protect my health as best as possible.

Thank you in advance for your support.

Sincerely,
Jonas Nitsche

Jan Schulz

Dear Jonas Nitsche,

I would like to emphasize first and foremost that it is very important for you to seek medical attention immediately when experiencing such symptoms. The symptoms you have described could indeed indicate testicular cancer, but there are also other conditions that can cause similar symptoms. A precise diagnosis can only be made through a thorough examination and further medical tests.

In your case, it would be advisable to consult a urologist, as urologists specialize in male genital tract disorders. The urologist will likely conduct a physical examination initially, palpating the testicles to identify any lumps or changes. Additionally, further tests such as ultrasound, blood tests, and possibly a tissue biopsy may be necessary to establish a definitive diagnosis.

If testicular cancer is indeed diagnosed, there are various treatment options available, including surgery, chemotherapy, and radiation therapy. The choice of treatment depends on various factors such as the stage and type of tumor, as well as the overall health of the patient. The prognosis for testicular cancer is generally very good, especially when the disease is detected and treated early.

It is crucial that you do not delay and seek medical attention as soon as possible. The earlier testicular cancer is diagnosed, the better the chances of recovery. If you have any further questions or need support, I am here to help.

Best wishes and warm regards,
Jan Schulz

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Jan Schulz