Testicular Cancer Treatment in Lucknow: a highly curable cancer, treated with care
Testicular cancer mostly affects young men and is one of the most curable cancers, even when it has spread. At the clinic, Dr. Anshuman Singh explains the diagnosis, the treatment plan and what it means for fertility, one to one and with your family.
Medically reviewed by Dr. Anshuman Singh, M.S., M.Ch. Urology (Gold Medalist), Uro-Oncologist & Robotic Surgeon
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An unhurried one-to-one discussion with Dr. Anshuman Singh, with your family welcome, so that you understand every option before you decide. Clinic OPD Mon–Fri: 6–9 PM, Uro-Onco Connect, Gomti Nagar.
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Understanding the condition
What testicular cancer is
Almost all testicular cancers are germ cell tumours, in two main kinds: seminoma and non-seminoma. They behave differently and are treated a little differently.
Most are found early because a lump is easy to notice. Even when the cancer has spread, chemotherapy cures the large majority of men. Treatment is planned step by step, with fertility in mind from the start.
When to see a doctor
Signs that need a check
- A lump, hardness or enlargement in a testicle, usually painless.
- A feeling of heaviness, or a dull ache in the scrotum or lower tummy.
- A swelling that does not settle after a course of antibiotics.
- Lower back pain, breathlessness or breast tenderness, which can occur when the cancer has spread or changed hormone levels.
Diagnosis
How the clinic works up a testicular lump
- Examination and ultrasound
- A scrotal ultrasound shows whether a lump is within the testicle and how likely it is to be cancer.
- Tumour markers
- Blood tests (AFP, beta-hCG and LDH) are taken before surgery. They help with the diagnosis, the stage and the planning of treatment.
- Sperm banking
- Offered before any treatment. Storing sperm is strongly advised for men who may want children in the future.
- Staging scans
- A CT scan of the chest, abdomen and pelvis shows whether the cancer has reached lymph nodes or other organs.
Treatment
The treatments, and when each is used
- Removal of the testicle
- The affected testicle is removed through a cut in the groin, not the scrotum. This is both the treatment and the test: the tissue shows the type of tumour. A prosthesis can be placed if you wish.
- Surveillance
- For early (stage I) cancer, regular examination, blood markers and scans for several years. Most men do not need further treatment.
- Chemotherapy
- Usually three or four cycles of a cisplatin-based combination for cancer that has spread to lymph nodes or other organs, and sometimes one cycle after surgery for stage I. It cures most men.
- Lymph node surgery (RPLND)
- Removal of the lymph nodes at the back of the tummy. It is used in selected cases, and for remaining lumps after chemotherapy in non-seminoma. Nerve-sparing technique protects ejaculation.
- Radiotherapy
- A short course to the lymph nodes may be used in selected cases of seminoma.
Fertility and health
Fertility, hormones and life afterwards
- One healthy testicle usually makes enough testosterone and sperm for a normal sexual life. Chemotherapy can lower sperm counts for a time, and in some men for good.
- Testosterone is checked in follow-up, and treated if low.
- Check the remaining testicle every month, and report any lump or change promptly.
- Long-term checks of blood pressure, cholesterol and heart health are advised, since treatment can affect them years later.
Follow-up
After treatment
Follow-up is a schedule of examination, blood markers and scans, with the most frequent visits in the first two years, continuing for at least five years. If the cancer returns, it is usually found early and can be treated.
Cancer Pathways
For structured, stage-wise information on what to expect, what to discuss with your treating Uro-Oncologist or Urologist, and the key decisions involved at each stage, please visit the Cancer Pathway section of this website.
Explore Cancer Pathways
Meet the doctor
Dr. Anshuman Singh
Uro-Oncologist and Robotic Surgeon, with a practice devoted entirely to cancers of the kidney, bladder, prostate, testis and penis.
Qualifications and training
- M.B.B.S.GSVM Medical College, Kanpur
- M.S. General SurgeryKing George's Medical University, Lucknow
- M.Ch. Urology (Gold Medalist)Kasturba Medical College, Manipal
- Fellowship in Uro-Oncology & Robotic SurgeryFellowship-certified by the Urological Society of India · Medanta, Gurugram
- Visiting Fellow, Robotic Uro-OncologyFundació Puigvert, Barcelona, Spain · EAU-sponsored training stay, Jan–Feb 2024
- Clinical Observer, Robotic Pelvic OncologyUniversity College London Hospitals, London, U.K.
- Evidence-based decisionsEach option is weighed against current guidelines and discussed openly, stage by stage.
- Robotic Surgery where it helpsMinimally invasive and robotic approaches for complex cancers that need precision and organ preservation.
- Quality of life mattersCancer control comes first, with equal attention to continence, sexual function and kidney health.
- Time to decideIndividual plans made through unhurried consultations, so you can choose with confidence.
Dr. Singh's personal website: urooncologist-lucknow.com
Common questions
Frequently asked questions
Can't find your question? Call or message the clinic, or see all questions.
Yes. It is one of the most curable cancers. Most men with early disease are cured, and the great majority of men with spread are also cured with chemotherapy.
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Patient reviews
What patients and families say
“I would like to express my heartfelt gratitude to Dr. Anshuman Singh for the exceptional care and expertise he provided during my prostate cancer treatment. From the very beginning, Dr. Singh demonstrated an outstanding level of professionalism and compassion.”
Vinod Kumar Bhat
Patient
“Last year on 25th May, 2024, I underwent robotic prostate surgery performed by Dr. Anshuman Singh and I couldn’t be more grateful for the exceptional care and expertise I received. From my very first consultation, Dr. Anshuma took the time to clearly explain my diagnosis, treatment options, and what to expect before, during, and after the surgery. ”
Malik Girish Anand
Patient
“Dr. Anshuman Singh is an extremely expert and caring doctor. Provided accurate diagnosis and consistent consultations throughout prostate treatment at Medanta. His constant availability and attention made the entire process reliable and comforting.”
Radhika Chemicals
Patient
Ready to talk about your diagnosis?
Clinic OPD Mon–Fri: 6–9 PM at Gomti Nagar. Teleconsultation by prior appointment.