First of all, glad to find this community. Sorry to see you guys here and Bless for every member.
here is my story to share. I have decided to go full orchiectomy for safe. scheduled on 9/26. But welcome comments. I will update with follow up info for reference.
Feb 2017,
diagnosed by ultrasound, a solid mass in right testis, 0.5x0.4x0.3cm. (originally the ultrasound is for the cyst in the head of left epididymis. unfortunately & fortunately found this mass. )
Feb 2017,
a blood test of LDH indicates nothing. level is normal. ordered MRI
Apr 2017,
MRI report confirmed the mass:
FINDINGS: The testes are of normal size. In the right testis there is a 5 mm enhancing nodule which is isointense on T1-weighted sequences hypointense on T2-weighted sequences and demonstrates enhancement following contrast administration. There is a small hydrocele on the right. On the left there is a fluid intensity mass in the epididymis consistent with a cyst. This demonstrates no enhancement. There is a small hydrocele on the left. There are normal-sized inguinal lymph nodes bilaterally.
IMPRESSION: Small enhancing nodule in the right testis corresponding with the recent ultrasound suspicious for malignancy, possible seminoma.
My urologist gave me 3 options:
1. do nothing and watching it;
2. partial orchiectomy;
3. full orchiectomy.
it's hard for me to pick with zero background knowledge
Aug 2017,
a follow up ultrasound. triple confirmed the mass. but no change in size. measuring 0.5 x 0.4 x 0.5 cm.
Sep 2017
decided to go full orchiectomy after few months asking around and self-study. surgery scheduled on 9/26 ...
reasons: safe, life is more important than one ball. I am 40 yrs old with two kids. was told one ball functions the same as two balls. hopefully
btw, I am in southern California. is this a simple surgery? should I spend effort to pick a good person to cut?
here is my story to share. I have decided to go full orchiectomy for safe. scheduled on 9/26. But welcome comments. I will update with follow up info for reference.
Feb 2017,
diagnosed by ultrasound, a solid mass in right testis, 0.5x0.4x0.3cm. (originally the ultrasound is for the cyst in the head of left epididymis. unfortunately & fortunately found this mass. )
Feb 2017,
a blood test of LDH indicates nothing. level is normal. ordered MRI
Apr 2017,
MRI report confirmed the mass:
FINDINGS: The testes are of normal size. In the right testis there is a 5 mm enhancing nodule which is isointense on T1-weighted sequences hypointense on T2-weighted sequences and demonstrates enhancement following contrast administration. There is a small hydrocele on the right. On the left there is a fluid intensity mass in the epididymis consistent with a cyst. This demonstrates no enhancement. There is a small hydrocele on the left. There are normal-sized inguinal lymph nodes bilaterally.
IMPRESSION: Small enhancing nodule in the right testis corresponding with the recent ultrasound suspicious for malignancy, possible seminoma.
My urologist gave me 3 options:
1. do nothing and watching it;
2. partial orchiectomy;
3. full orchiectomy.
it's hard for me to pick with zero background knowledge
Aug 2017,
a follow up ultrasound. triple confirmed the mass. but no change in size. measuring 0.5 x 0.4 x 0.5 cm.
Sep 2017
decided to go full orchiectomy after few months asking around and self-study. surgery scheduled on 9/26 ...
reasons: safe, life is more important than one ball. I am 40 yrs old with two kids. was told one ball functions the same as two balls. hopefully

btw, I am in southern California. is this a simple surgery? should I spend effort to pick a good person to cut?
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