Testicular Cancer Treatment Cost in India

Last Modified: January 10, 2022  |   Created on: January 7, 2022
Cancer Treatment
  • Testicular Cancer affects the testicles, the organ responsible for synthesizing sperm and testosterone in men.
  • It is the most common form of cancer affecting men between the age of 15 to 35. 
  • Cryptorchidism, abnormal testicle development, family history of testicular cancer, age, and ethnicity are the factors that may increase an individual’s predisposition towards the disease. 
  • The cost of testicular cancer treatment in India is highly affordable. The factors that may influence these costs are the stage and type of cancer, treatment choice, clinical infrastructure, surgeon’s experience, and other diagnostic tests. 
  • The survival rate after testicular cancer treatment is 95%, given that the condition was detected and diagnosed during an early stage. 
testicular-cancer-treatment-in-India

Testicular Cancer affects the testicles, the organ responsible for synthesizing sperm and testosterone in men. When compared to other cancers, testicular cancer is a rare incidence. However, it is the most common form of cancer affecting men, especially between the age of 15 to 35. 

Fortunately, testicular cancer is curable. As much as 95% of men are left cancer-free after successful treatment for testicular cancer. Many countries serve as a good option for undergoing the treatment; but, the testicular cancer treatment cost in India makes the country the best choice amongst all. 

Diagnostic tests for testicular cancer

A patient can detect testicular cancer themselves while doing a self-examination to check for lumps or during a routine checkup by a doctor. To confirm whether the lumps are formed because of testicular cancer, the surgeon may ask the patient to undergo one of the few or a combination of the following tests:

1. Ultrasound

An ultrasound test helps the doctor to determine the nature of the lumps that form in or outside the testicles; lumps can be solid or filled with fluid. During the ultrasound, the patient would lie on their back with the legs spread apart. The technician or lab assistant applies gel to the scrotum and moves the probe over it to form an ultrasound image.   

2. Blood Tests

The next confirmative test for testicular cancer can be the study of the levels of tumor markers in the blood. Tumor markers are substances, mainly proteins, that normally occur in the body, but during testicular cancer, their levels elevate. However, the elevation of tumor markers alone can’t confirm testicular cancer. These blood tests help the surgeon to determine the diagnosis. 

3. Radical inguinal orchiectomy

A radical inguinal orchiectomy involves the removal of the entire testicle by making an incision in the groin. After this procedure, the surgeon extracts thin slices of testicular tissue from and examines them under a microscope. This helps the doctor to analyze the type, grade, and stage of cancer to plan the treatment and further prognosis. 

Testicular cancer is of two types:

  • Seminoma –  Seminomas are more common in men in their 40s. The spread of growth of seminomas is gradual, and they are mostly confined to the testis, although they can spread to the lymph nodes as well. Seminomas are a less aggressive form of testicular cancer. 
  • Nonseminoma – Nonseminomas usually affect teenagers and men in their early 30s. They are comparatively more aggressive forms of cancer.

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Staging the testicular cancer

Once the diagnosis for testicular cancer is confirmed, the doctor will undertake tests to examine the stage or extent of cancer. These include:

  • CT Scan – A CT scan helps the doctor to determine the size and spread of the tumor by forming an inside image of the body using x-rays directed towards the body part from different angles. The patient will be given a dye known as a contrast medium before the procedure in the form of a pill, liquid, or injection in the veins. The CT scan will cover the patient’s pelvis, abdomen, lungs, and rarely the brain.
  • Blood tests – Tumor markers not only help to confirm testicular cancer but also detect its stage. Different stages of testicular cancer are associated with the elevation of different tumor markers. These include alpha-fetoprotein, Beta human chorionic gonadotropin, Lactate dehydrogenase, and Placental alkaline phosphatase. 

After the cancer is staged and assigned a type, the next step is to define a proper treatment plan for the patient. 

Stages of Testicular Cancer

Stage  Description Treatment Testicular treatment cost in India
Stage 0 The cancer has not spread to lymph nodes or other distant parts of the body. Plus, the cancer is not detected in the blood as well. Radical Orchiectomy and simple surveillance program  
Stage 1  

The cancer has spread to nearby tissues but not to the surrounding lymph nodes. Stage 1 can have 3 different scenarios:

  • The tumour is restricted to the testicle and not spread to the lymph nodes
  • The cancer has spread to nearby tissues but not to the surrounding lymph nodes or distant body parts
  • The intensity of invasion is extremely high but the cancer has still not spread to the lymph nodes or other body parts.

Slowly growing cancer

Surveillance, and a combination of light chemotherapy and radiation therapy.  

Aggressive cancer

Chemotherapy or surgery to remove lymph nodes at the back of the abdomen.

 
Stage 2

The cancer may or may not have grown outside the testicle but has spread to nearby lymph nodes.  Stage 2 can have 3 different scenarios:

  • Testicular cancer has affected at least one lymph node and the tumor is less than 2 cm in size
  • Testicular cancer has affected at least one lymph node and the tumor is 2 to 5 cm in size
  • The size of the cancer in the lymph node is more than 5cm, but it has not spread to other parts of the body.
Testicle removal surgery followed by radiation chemotherapy. A lymph node dissection can also be recommended depending on the size and spread of the tumour.  
Stage 3

The cancer has spread to distant parts of the body.  Stage 3 can have 3 different scenarios:

  • Testicular cancer has spread to lymph nodes or lungs but not other body parts.
  • Cancer has grown to one or more of nearby lymph nodes but not other parts of the body.
  • Cancer has reached distant lymph nodes or the lungs.
Multi-drug, high dose chemotherapy  

Factors affecting the testicular treatment cost in India

The cost of testicular cancer treatment in India depends on various factors, including:

  • Stage and type of testicular cancer
  • The severity of the condition
  • Location and clinical infrastructure of the hospital
  • Experience and fee of the oncologist
  • Length of stay in the hospital,
  • Cost of investigations and tests
  • Follow-ups

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Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

Testicular Cancer Treatment in India

The treatment for testicular cancer in India depends on the stage & type of cancer a patient suffers from. During the initial consultation with an oncologist in India, one or the combination of the following treatments may be advised.

1. Surgery

  • Radical Orchiectomy – A radical orchiectomy is a surgical procedure that involves making an incision in the groin area to remove the entire testicle. Most patients opt for a prosthetic to replace the missing testicle, which can be inserted during or after the surgery. 
  • Testis-Sparing Surgery – This surgical procedure or technique only targets the areas affected by cancer. The surgeon carefully removes the diseased part of the testicle, leaving the rest structure intact. It is suitable for patients suffering from small tumors. 
  • Retroperitoneal Lymph Node Dissection – A retroperitoneal lymph node dissection is a complex surgery that involves the removal of the lymph nodes invaded by cancer. The surgeon makes an incision in the abdominal region to carefully remove the affected lymph nodes, avoiding damage to the surrounding nerves. This surgery is often advised in advanced stages of testicular cancer.

2. Radiation treatment 

  • Radiation therapy is a common form of treatment in all types of cancers.
  • The treatment uses high-energy beams emitted from an external or internal source to target and kill cancerous cells. 
  • The radiation aiming at the affected organ or tissue destroys the DNA and cell machinery of the cancer cells, eventually leading to restricted growth and death. 
  • Radiation treatment is advised after surgery to ensure that no cancerous cells are remaining in the patient’s body. 
  • The treatment comes with its set of side effects like nausea, fatigue, reduction in sperm count, and more. These side effects are manageable and gradually improve with time. 

3. Chemotherapy

  • Chemotherapy is a go-to treatment approach for all types of cancers. It is a multi-stage procedure that involves the introduction of anti-cancer drugs into the patient’s body. 
  • These drugs can be administered to the patient orally in the form of pills or tablets as well as intravenously. 
  • The anti-cancer drugs are designed to target the cancer cells and halt their growth and cell machinery. This leads to a decline in the ability of a cancer cell to replicate or affect the healthy cells, ultimately causing cell death. 
  • Patients are advised to undergo chemotherapy after surgery to leave the minimal possibility of recurrence. 
  • Like radiation therapy, chemotherapy has a set of temporary side effects like hair loss, nausea, diarrhea, etc.,

4. Chemotherapy With Stem Cell Transplant

  • Patients suffering from an advanced form of testicular cancer are given high doses and multiple rounds of chemotherapy. Unfortunately, as effective as chemotherapy is, it also targets healthy and functional cells in the process of killing the cancerous ones. 
  • Therefore, along with chemotherapy, the patient may also be advised to get a bone marrow transplant in India
  • A bone marrow or stem cell transplant introduces and replenishes blood-forming stem cells in the patient’s body after multiple rounds of chemotherapy. This allows the doctor to deliver high doses of chemotherapy for better management of the disease. 

Life after testicular Cancer treatment in India

Though the survival rates after testicular cancer treatment in India are high, it is natural for a patient to feel scared about the cancer returning. Therefore, a holistic and regular follow-up is a huge part of testicular cancer management.

Even if a patient is completely free of cancer after surgery or chemo, a doctor will advise them to undergo regular tests and checkups for some years following the treatment. This helps the doctor to track the progress of the treatment and signs of relapse along with managing the side effects of treatment or cancer. 

After care tips for testicular cancer treatment or surgery

  • Patients can resume their normal activities after two weeks of testicular cancer surgery, avoiding strenuous exercises or movements.
  • Practice proper hygiene to avoid any chances of infection in the newly operated area.
  • Maintain a healthy diet and exercise regime after treatment.
  • Avoid using products laden with chemicals in the operated area and switch to organic, mild ingredients.
  • Avoid engaging in sexual activities for at least two weeks after testicular cancer surgery.
  • Attend regular follow-ups with an oncologist and show compliance to their instructions. 

Frequently asked Questions (FAQs) about Testicular Cancer Treatment in India

1. Is testicular cancer curable?

Testicular cancer has a better prognosis and high survival rates compared to other forms of cancers. However, early detection and treatment are the only way for timely control of cancer. 

2. What are the causes of testicular cancer?

There is no definite cause or explanation as to what causes testicular cancer. The condition can be a result of multiple factors that increase the predisposition to develop the disease. These include:

  • An undescended testicle, cryptorchidism
  • Abnormal testicle development
  • Family history of testicular cancer
  • The age group of 15 to 35
  • Ethnicity; Caucasians have a higher chance of developing testicular cancer than Africans. 

3. What are the symptoms of testicular cancer?

The symptoms of testicular cancer include:

  • Formation of lump or enlargement in the testicle
  • Feeling of heaviness in the scrotum
  • Dull pain in the abdomen or groin
  • Fluid accumulation in the scrotum
  • Pain in a testicle or the scrotum
  • Enlargement or tenderness of the breasts
  • Back pain

4. Is testicular cancer fatal?

Most people assume testicular cancer as a death sentence. Fortunately, the condition is simply a diagnosis. Testicular cancer is one of the most treatable forms of cancer, with a survival rate close to 95%. Additionally, if testicular cancer is detected early, the survival rate goes up to 99%.

5. Does testicular cancer treatment affect an individual's ability to become a parent?

Testicular cancers can leave a patient infertile. Although, this might not be the case for all types of testicular cancers. A testicle removal surgery may leave a part of the testicle capable of producing sperm.

However, a patient should discuss their concerns with a doctor before the surgery and, if possible, opt for sperm freezing. Freezing the sperm helps a patient to have a chance at fatherhood even after losing their biological capabilities to father a child. 

6. Can testicular cancer be prevented?

No individual can control the risk factors involved in the development of testicular cancer. Therefore, it is hard to say that the condition can be prevented. The best a person can do is be proactive and get a regular checkup for any signs and symptoms of the disease. 

Simran Bahia

Written By Simran Bahia

Simran Bahia is an experienced content developer with extensive research experience in the field of Immunology and Reproductive Biology. Simran obtained her Bachelors in Life Sciences followed by a Master's in Immunology from renowned institutions - The University of Delhi and Amity Institute of Virology and Immunology.

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