Testicular Cancer: Post-Surgery Concerns and Recovery

Q: Testicular Cancer: Post-Surgery Concerns and Recovery

Hello： <br>1) Fetal protein is used to assist in diagnosing tumor types, stages, and invasiveness. <br>For differentiation, you can refer to imaging techniques such as CT scans and MRI at http：//www.tand.org.tw/Publications/into.asp?/230.html.<br>2) After a testicular removal sur

Tumor issues (testicular cancer with one testicle removed)

Hello Dr.
Du: I have a lump on my right testicle, and after going to the hospital for an examination, the ultrasound indicated it was a tumor.
Blood tests showed elevated levels of alpha-fetoprotein (AFP) at over 3000, so surgery was scheduled for the following week for removal.
After the surgery, the doctor indicated a preliminary diagnosis of stage I.
It has been three days post-surgery, and the wound feels better than the first two days, with less pain.
I would like to ask you two questions:
First, what does an alpha-fetoprotein level over 3000 signify? Is there a possibility that cancer cells have already metastasized? Would it be difficult to treat?
Second, how long after the testicular removal surgery can I engage in sexual activity or masturbation? Will it negatively impact my condition? Since my follow-up appointment is still two weeks away, I have been feeling anxious and wanted to seek your clarification.
Thank you.

Wei, 20~29 year old female. Ask Date: 2021/10/09

Dr. Du Shixi reply Urology

Hello:
1) Fetal protein is used to assist in diagnosing tumor types, stages, and invasiveness.
For differentiation, you can refer to imaging techniques such as CT scans and MRI at http://www.tand.org.tw/Publications/into.asp?/230.html.
2) After a testicular removal surgery, how long should one wait before engaging in sexual intercourse or masturbation? Will it negatively affect the condition? -- Since there are still two weeks until the follow-up appointment, I have been feeling anxious, which is why I am asking.
Thank you for your clarification.
-- If the surgical wound heals completely within a week, there should be no negative impact.
Wishing you good health.

Reply Date: 2021/10/09

More Info

Dear Patient,
Thank you for reaching out with your concerns regarding your recent diagnosis and surgery for testicular cancer. It's completely understandable to feel anxious during this time, especially when dealing with a serious health issue. Let’s address your questions one by one.

First, regarding the elevated levels of tumor markers, specifically the alpha-fetoprotein (AFP) that you mentioned being over 3000. Elevated AFP can indicate the presence of certain types of testicular cancer, particularly non-seminomatous germ cell tumors. However, it is important to note that elevated AFP levels do not necessarily mean that cancer has metastasized (spread to other parts of the body). In many cases, elevated tumor markers can be associated with localized disease, especially in the early stages. Your medical team will likely monitor these levels closely post-surgery to assess their trend. A decrease in AFP levels after surgery is generally a positive sign, indicating that the tumor burden has been reduced.
As for the concern about the potential for metastasis, it is crucial to follow up with your oncologist for further evaluations, including imaging studies such as CT scans, which can help determine if the cancer has spread. The prognosis for testicular cancer, particularly when detected early, is generally very good, with high cure rates. The specific treatment plan and follow-up will depend on the final pathology results and any additional findings from your follow-up imaging.

Now, regarding your second question about resuming sexual activity after surgery. Generally, after a testicular removal (orchiectomy), most patients can resume sexual activity within 2 to 4 weeks, depending on individual healing and comfort levels. It is essential to listen to your body and consult your surgeon about when it is safe for you to engage in sexual activity. Engaging in sexual activity too soon after surgery could potentially cause discomfort or complications, but it should not negatively impact your recovery or prognosis if done at the appropriate time.

In the meantime, focus on your recovery. Ensure you are following your surgeon's post-operative care instructions, including managing pain, keeping the surgical site clean, and attending follow-up appointments. It’s also beneficial to maintain a healthy lifestyle, including a balanced diet and light physical activity as tolerated, to support your overall recovery.

Lastly, it’s important to communicate openly with your healthcare team. If you have any concerns or questions, don’t hesitate to reach out to them. They are there to support you through this journey and provide you with the necessary information and reassurance.

Wishing you a smooth recovery and the best possible outcome.

Sincerely,
Doctor Q&A Teams

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