Usually the first sign of testicular cancer is a lump / area of hardness on one of the testicles (sometimes this mass is painless). Other signs include a buildup of fluid in the scrotum, dull lower abdomen/groin pain and enlargement or swelling of one of the testicles. Testicular cancer treatment program begins with an ultrasound scan, which is followed by a biopsy. An oncologic urologist’s exam then takes place.

Regardless of the presence of metastases, an orchiectomy will be scheduled as part of treatment for testicular cancer. This is done not only for therapeutic, but also for diagnostic reasons, as it allows to obtain a sufficient amount of biological material for immunohistochemistry, the results of which will help determine the appropriate chemotherapy protocol.

Program Overview

Testicular cancer treatment cost is made up of the following:

  • Extensive blood workup (CBC, CMP, electrolyte levels, testosterone and tumour markers) and urine analyses (urinalysis, culture)
  • Scrotal ultrasound
  • Urologic oncologist consultation
  • Testicular biopsy and expedited histopathology
  • High-resolution chest, abdomen and pelvis CT
  • Orchiectomy and 1 day of hospitalization
  • Preoperative care: Routine preoperative preparation including an ECG, chest X-ray and an anesthesiologist consultation
  • Express histopathology and histochemistry (performed by a pathologist, who specializes in urological tumours)
  • Urologic chemotherapist consultation

The aforementioned testicular cancer treatment program (including workup, preliminary biopsy results, surgery, postoperative histopathology and drafting a treatment protocol) takes 14 working days. Work up and surgery are performed at the ultra-modern Assuta Medical Center facility in Tel Aviv. It should be emphasized, that treatment program can only be determined once the results of the work up are ready.

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