Diagnosis, Tumor Markers, and Staging
Understanding Testicular Cancer
Testicular cancer is highly treatable and often carries a near-100% cure rate when detected early.
Diagnostic Pathway in Istanbul:
- Scrotal Ultrasound: High-sensitivity imaging to distinguish solid tumors from benign cysts.
- Tumor Marker Panel (AFP, hCG, LDH): Essential blood tests to classify cell type (Seminoma vs. Non-Seminoma).
- Chest-Abdomen-Pelvis CT: Comprehensive staging to detect potential lymph node spread in the retroperitoneum.
- Sperm Banking: Dedicated coordination of fertility preservation before the start of any treatment.
| Diagnostic Tool | Indication | Purpose |
|---|---|---|
| Scrotal Ultrasound | Palpable Lump | Primary Diagnosis |
| AFP / hCG / LDH | Pre-Surgical Staging | Baseline Activity & Type |
| CT Staging | Confirmed Tumor | Nodal & Systemic Staging |
Curative Resection and Nerve-Sparing Technology
Surgical Excellence: Orchiectomy and RPLND
Surgery is the primary treatment for testicular cancer. Our urological oncologists specialize in nerve-sparing techniques to preserve long-term health.
Surgical Procedures Available:
- Radical Inguinal Orchiectomy: Removal of the affected testicle through a groin incision (avoiding scrotal spread).
- Testicular Prosthesis: Seamless insertion of a saline-filled silicone implant for aesthetic restoration.
- Nerve-Sparing RPLND: Advanced removal of retroperitoneal lymph nodes while preserving ejaculatory function.
- Robotic RPLND: Minimally invasive approach for suitable Stage II cases.
| Procedure | Hospital Stay | Hotel Stay | Recovery |
|---|---|---|---|
| Radical Orchiectomy | 0-1 Night | 5 Days | 2 Weeks |
| Robotic RPLND | 2-3 Nights | 7 Days | 3 Weeks |
| Open RPLND | 4-5 Nights | 10 Days | 4-6 Weeks |
Monitoring and Long-Term Wellness
Post-Surgical Care and Survivorship
Recovery from testicular surgery is rapid, but long-term monitoring is key to ensuring continued remission.
Recovery Support & Ongoing Care:
- Tumor Marker Surveillance: Regular blood tests to track AFP and hCG levels for the first 5 years.
- Testosterone Management: Expert endocrinology support if hormone replacement is required.
- Adjuvant Chemotherapy Coordination: Managing BEP protocols in Turkey or at home if indicated.
- English Documentation: Full surgical, pathology, and surveillance reports for your home urologist.
BB Global Health remains your contact point for all follow-up imaging and remote consultations with your surgical team.