Does a urologist perform testicle removal surgery?

Urologists diagnose and surgically treat conditions affecting the male urinary and reproductive systems. For a suspected testicular cancer, the testicle is generally approached through an incision in the groin rather than through the scrotum. This lets the surgeon remove the testicle and spermatic cord in a way suited to diagnosis and treatment.

The removed tissue is examined by a pathologist. Scan findings, blood tests, the pathology result, and the person's preferences then guide whether further monitoring or treatment is considered. Fertility, hormone function, body image, and the option of a testicular prosthesis can be discussed before the operation.

Give the team a complete medication and allergy list, including any blood-thinning treatment, and mention earlier groin or scrotal operations. Follow the hospital's fasting and medicine instructions. If future fertility matters to you, raise sperm storage before treatment because this needs advance planning.

Ask how the incision will be cared for, what supportive underwear may help, which activities should be limited during recovery, and when pathology will be available. Arrange transport home and practical help if the hospital advises it.

A new testicular lump, swelling, firmness, or persistent ache should be assessed promptly rather than watched indefinitely. Sudden severe testicular pain, especially with nausea or a high-riding testicle, needs emergency evaluation because reduced blood flow to the testicle is time-sensitive.

Following orchidectomy, obtain urgent help for heavy bleeding, faintness, trouble breathing, severe or escalating pain, fever with feeling very unwell, difficulty passing urine, or rapidly increasing groin or scrotal swelling. Contact the surgical team if the wound opens or develops spreading redness, heat, or discharge.

Consider asking why orchidectomy is recommended, which side will be treated, how the diagnosis will be confirmed, and when you can resume work, driving, exercise, and sexual activity. Request clear information about fertility preservation, testosterone monitoring, prosthesis choices, expected sensations around the scar, and the next appointment.