Metastasis (spreading) to other parts of the body may occur with testicular cancer. The most common sites include the retroperitoneal area, the abdomen, the spine, and the lungs.

Text Continues Below

---

If both testicles are removed, the man becomes infertile (unable to have children) because no sperm cells will be produced. If surgery is done to remove lymph nodes, there can be damage to nerves that control ejaculation. This can also cause infertility as well as impotence. There is a newer type of surgery that has a better chance of preserving the nerves that maintain erection while still removing the lymph nodes.

Since testicular cancer affects men at the ages they may want to father children, nerve-sparing surgery and sperm banking (to save sperm and freeze it for use in artificial insemination) before any treatment should be discussed with the doctor.

Call your health care provider if symptoms of testicular cancer occur.

Also call if you are a male over 15 years old who has not been taught testicular self-examination (TSE), or who has not had testicular screenings performed by your health care provider during routine physical examinations.