Post-Operative Care and Concerns After Testicular Tumor Removal - Urology

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Post-orchiectomy for testicular tumor?


On June 14, I underwent a left orchiectomy due to a stage IB malignant tumor.
The doctor mentioned that we are waiting for the results to determine if I can apply for a major illness card.
Additionally, I have been resting at home for 7 days.
I feel some swelling in the area where the left testicle was removed, and occasionally I experience sharp pain.
Is this normal?

An An, 20~29 year old female. Ask Date: 2022/06/25

Dr. Lin Wenxu reply Urology


Sorry, I cannot determine whether there is an issue with your current condition.
It is recommended that you return for a follow-up examination.
Dr.
Lin Wun-Hsu, Urology Department, Nantou Hospital.

Reply Date: 2022/06/25

More Info


After undergoing a left-sided orchiectomy for a malignant testicular tumor classified as Stage 1B, it is essential to understand the post-operative care and the typical concerns that may arise during recovery. Orchiectomy is a surgical procedure to remove one or both testicles, often performed to treat testicular cancer.

Understanding Stage 1B Testicular Cancer
Stage 1B testicular cancer indicates that the cancer has spread beyond the testicle to nearby tissues but has not spread to distant sites. The prognosis for Stage 1B is generally favorable, especially with appropriate treatment. Following surgery, the next steps often involve monitoring and possibly additional treatments, such as chemotherapy, depending on the pathology results.


Post-Operative Symptoms
1. Swelling and Pain: It is common to experience some swelling and discomfort in the area where the surgery was performed. The swelling may be due to fluid accumulation or inflammation as part of the healing process. Pain can also occur as the body recovers from surgery. Mild to moderate pain is generally expected, and it can be managed with prescribed pain medications. However, if the pain becomes severe or is accompanied by other concerning symptoms (such as fever or excessive swelling), it is crucial to contact your healthcare provider.

2. Normal Recovery Signs: After surgery, the incision site may feel tender, and you might notice some bruising or discoloration. These are normal signs of healing. The "pulling" sensation you describe could be related to the healing of the tissues and nerves in the area.
3. Rest and Activity: It is advisable to rest and avoid strenuous activities for a few weeks post-surgery. While light activities can be beneficial, heavy lifting or vigorous exercise should be avoided until your doctor gives you the green light.
4. Follow-Up Care: Regular follow-up appointments are essential to monitor your recovery and check for any signs of recurrence. Your healthcare provider will likely schedule these visits and may perform blood tests (such as tumor markers) and imaging studies as needed.


Concerns About Major Illness Cards
Regarding the application for a major illness card, this typically depends on the specific regulations in your area and the assessment of your medical condition by your healthcare provider. The results of your pathology report will play a significant role in determining your eligibility.


When to Seek Medical Attention
You should reach out to your healthcare provider if you experience:
- Severe pain that does not improve with medication
- Signs of infection, such as fever, chills, or increased redness and swelling at the incision site
- Persistent nausea or vomiting
- Any unusual discharge from the surgical site

Conclusion
In summary, while some swelling and discomfort after a left-sided orchiectomy for testicular cancer are normal, it is essential to monitor your symptoms closely. Follow your doctor's post-operative care instructions, attend all follow-up appointments, and communicate any concerns you may have. Recovery can take time, and being proactive about your health will help ensure the best possible outcome. Always feel free to reach out to your healthcare provider with any questions or uncertainties during your recovery process.

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