UCLA urologist Mark Litwin, MD, MPH, chair of the UCLA Department of Urology, and a testicular cancer survivor, as he describes the basics of testicular cancer diagnosis and treatment and the latest in clinical management.
Testicular cancer survivor here. I was diagnosed on my 22nd birthday in July of 2018 but I have been cancer free since April of 2019! I cannot stress enough to get yourself checked ASAP after you notice something out of the ordinary. If you wait, it will just mean more chemo or other treatment down the road. Catch it early and don’t be afraid or embarrassed to go to the doctor and tell your family/friends. It’s nothing to be ashamed of
@@GoDonnyK Alright thank you so much, I will make sure to share it as soon as possible, I would have to wait a minimum of three days though. I wish you well.
Hexon even if you are unfortunate like I was and it is indeed cancer, testicular cancer is one of the most treatable cancers that exists so you will most likely be okay! A very very high success rate at getting rid of it, even at advanced stages so that’s reassuring
Im really scared, i found a hard pea size lump on my right testicle, are all hard lump on testis cancerous? Or there might be any other reason for this? Please reply need to talk
Great hope vid , it's not necessarily a death sentence enemy if spread to lymph nodes etc. We can cure this, wow ,we have come so far. Thanks Heath heros!
Great explaination of CT. I was 48 yo diagnosis stage 3. That was 21 years ago. Went to UCLA for treatment, 3 secessions of BEP , lung surgery also siminal vesical was also envolved. UCLA was a great place for treatment. Thank you UCLA.
Thanks For saving much life. You gave me the mind to go and check. Finally is not. Please, guys, Many of it may look like cancer but is not... Have the courage to go and see your doctor. You will be relaxed and happy with your result. Even if, is easier when you find it earlier. May God protect us all from all these Cancers in Jesus mighty name Amen!
This video was such a wake up call for me to go get checked. I had a hard lump on my right testicle that I had noticed for quite some time, years even, but I was too scared to go to the doctor. I had constant anxiety, like a black cloud that was constantly following me. I finally decided to go to the doctor to get some peace of mind and luckily it turned out to be some kind of cyst. Moral of the story, go get checked out, it could be something serious or nothing at all!
I am expiriencing the same symptoms you mentioned. Except it is not hard. I am really stressed out bro. It is not that I'm embarrsassed about seeing a doctor, it is just that I don't wanna hear what they have to say. What if they tell me I have this! I personally am not that overly scared of dying but I am terrfied of cancer and everything that will follow after that.
Chris I’m glad you’re doing great and I wish you all the best for the future, a friend of mine is going through chemo and we’re hoping for the best. God bless
Such great information and a wonderfully organized presentation. My love has testicular cancer and I just want to learn as much as possible so that I can support him effectively. I love him and I don't want to be afraid. Thank you so much for this. ❤️
Thank you so much Dr.Litwin for making this! Am a male (36) from Belgium with a cyste that has been looked at and confirmed it was a cyste, but kept hunting me. You have no idea how much this video means to me, my own doctor didn't took the time to explain me anything, I was in the office for 5 - 10 min and he probably used 20 words, including '' that will be 70 euro please".
On of February 2022, I had an Orchiectomy on my right side. Since then, I've had 8 contrast CT's, all clear, so for now, no chemotherapy! Thank you Doctor Mark Litwin for this most informative video! I realize now, that our differening medical systems, are such, that an immediate, prosthesis implant wasn't an option. Update today, Wednesday 10th of April 2024. My Testicular Prosthesis, Surgery, performed by Dr Lee Jonat Urologist-Surgeon. First patient in our R.I.H.'s, (Royal Inland Hospital) O.R. #11. Thank you very much to [all] the accompanying, Anesthesia Surgeon, whose name I sincerely apologize for not recalling, all the Surgical Staff, as well as recovery R.N.'s.!
That's great! But can I make a question? What type of testicular cancer was it, seminoma or non seminoma? My boyfriend had the orchiectomy, but it is non seminoma stage II and doesn't want to have chemo and try surveillance 🥺
@mariamelendezc Thank you, Maria, for the acknowledged. It was caught early, and Seminoma, while yes it's the simplest to treat. I strongly suggest that your partner, seriously, consider the oncologist's recommendations!
@@invader7876 no way it is cancer dude. If it starts hurting or growing (the ball itself, not the veins and arteries around it) then only do something about it
Thanks Doctor. After watching this video, I finally got the courage to go to the doctor to have a check up. I had a swelling the size of an avocado on the left side in my scrotum. It was growing for over a year. I was diagnosed with a hydrocele.(Jan 2020). I had the surgery 2 weeks later. I’m so happy to have relief
Man my right testicle has been killing me off and on for 20 yrs . I've been to several general practice Drs and they always say it's a hernia . There's no lumps . But my sack is red. And it hurts I'm scared I got cancer . But don't know if you can have it that long . It feels inflamed and the right is larger and a little more solid than the left one . I don't know what to do. Drs just chalk it up to injury and laugh at me .
@@DrLove911 you need to see a urologist asap and get and ultrasound, CT or MRI i just has my left testicle removed. my was slow growing over 2 months or so. let me know if you have questions
Stage IIB mixed germ cell tumor survivor here. Had my orchiectomy in late July 2022, went through EP chemo from August through October, and I go in for Post-Chemo RPLND surgery next Friday for what will hopefully be the last action we take to treat my case of this illness. I think it's important to reiterate what Dr. Litwin says here: if you have testicles, start your self exams immediately. If you notice any changes, seek out your primary care doctor for an exam, at the very least, and even ask for a referral to a urologist. Do not self-diagnose and do not wait until you present with secondary symptoms. I noticed a right-sided varicocele back in late 2020 and got an all-clear from an ultrasound in early 2021. Over the course of the following year and a half, I noticed changes in the size, firmness, and shape of my right testis. Rather than follow back up with my doctor, I trusted the earlier ultrasound rather than my understanding of how my own body felt. Cut to April 2022, when I was rushed to the ER with excruciating pain and localized infection, uncommon symptoms. After three months of antibiotics, poor ultrasound image quality due to inflammation, incorrect differential diagnoses, and a second opinion, I was finally diagnosed with TC at Memorial Sloan Kettering and began receiving proper treatment an excellent care. Don't wait. Cop a feel and seek medical attention if you notice anything changing.
I learned so much from this doctor. I think my first health scare regarding this started way back in high-school when I took Sex Ed. I remember finding a lump on my left testicle in the shower and freaking out until I finally went in and got checked out. As it turns out that lump was no other Than a cest. Than way back in 2012 I had a really bad groin injury which resulted in a hydrocele on my right testicle, so I would get checked out year after year until, I learned to just chill out. Take care of your balls fellas.
Very calming to watch for me. I was thinking testicular cancer, but realized my lump wasn't on the actual testicle but above - spermatocele. It also came by so fast that such swelling probably wouldn't realistically be from a cancerous tumor. Videos like this are fantastic, when a true expert can teach and inform.
@@noonevincecarterfan I’m 55 and had cancer on both, so now on TRT the rest of my days. Not that big a deal. It was three weeks ago, still healing now.
I was freaking out but nearly certain I have a Spermatocele! Still have an appointment to be safe ..This doctor is just incredible thank you so much for taking the time and posting this! Could listen to him all day!!
@@souravrsandeep9508 do u have surface of testicle itself or on epididymis I have at the surface of testicle on top back side and I think it is attached to my epididymis
This must be the most assuring advice I've received. At the moment I'm in doubt if I have testicular cancer or not based on self assessment. Went through many articles and videos which made me feel as if I'll be dead by tomorrow. I'm going to seek a urology as soon as tomorrow. Will be back to update you on my findings. Thanks a lot for this video.
This video is excellent and makes me feel much better about my prognosis. Currently recovering from orchiectomy (1 week ago). It happens fast. Found a ~1" hard/firm lump on right testicle and immediately when to doctor for check up 5 days later. 10 days after that I was in OR for surgery. To any guys that are concerned about what they may have go immediately and get checked. Hard firm lumps in/on testicles are nothing to play with and nothing to be ashamed of. Don't wait, if it's cancerous it won't get better on it's own and the sooner you get treated the less likely you are to need additional surgery and chemotherapy. I should have been doing a better job of checking myself monthly, I just noticed a different sensation than normal and checked myself out.
Was diagnosed with TC few days ago after dragging my feet at having a testicular mass examined. Had my orchiectomy within 8 day of finding out the mass was malignant. Yesterday learned I'm a stage II patient because it hasn't quiet made its way to my lymph nodes (we hope) but its penetrated the channel within the testicular cord which means its on its way if its not there already. I'm in between chemotherapy and lymph node removal but leaning towards removal. If you act fast, you have more options.
Holy hell I've got masses my doctors keep passing me around and now telling me surgery is necessary..masses inside both, scary to lose one or possibly both. It's great that a doctor like this is what we need more of yo put we need along with more mainstream men's health awareness
I think this should be a part on normal school education (later years, like college (High school for US) where pupils are between 16-18. Of course female students would receive an equal kind of lesson with respect to their anatomy. It could be very helpful and they are just at an age where they enter the most likely group (18-40).
Damn bro I’m sorry to hear that . My balls been feeling weird lately not sure if I have cancer now but I’m just stressed and scared now any advice bro ?
Sir last year once my testicle got swollen i consult a nearby doctor he gave me some medicine and in one week my problem is all gone but after sometime my right testis is shrinking and at present it is of almost 2 cm so please suggest me what has happened to me
I am a 19 year old guy that likes to learn about general stuff like history, geography and cultures of the world along side philosophy... I hot bored during the Quarantine so i watch stuff like this because one does never know... it is good to be aware.
I would NEVER advise anyone to have the lymph node dissection if the AFP and HGC markers are negative after the orchiectomy. I had a foot long scar from the operation and after months of investigation and angiography the surgeon clipped my renal artery during the surgery. 26 years later I’m still on daily antihypertensive meds. Also there is a risk of permanent impotence and retrograde ejaculation permanently.
I’m sorry that happened to you. However I don’t think it’s responsible to discourage others from having that surgery, especially if they’re in a situation where medical professionals are telling them it’s the right thing to do. I also had the surgery, and I have the scar (though It doesn’t bother me cause it shows I’m a badass and it’s kinda cool too), and I didn’t have those complications from the surgery. With any surgery there is risk involved, even with something as simple as getting your wisdom teeth removed. It sounds like it was the fault of your particular surgeon. Luckily people have the option to do the less invasive robot surgery with smaller hole scars if they want. I chose the old fashioned way cause there was a much higher success rate of getting rid of the cancer that way. Again I’m sorry that happened to you and I wish you all the best.
Sorry to hear that happened to you but if there is anyone who is in need of potential needing Lymph node surgery. Visit multiple doctors. Get 2nd opinions.
Guys if you are watching this chances are you have some concerns. Get checked out, the sooner the better. Dont be embarrased. Also make sure you have the ultra sound at a hospital not in a clinic at the Urologist. Again get checked out dont wait.
Mansour O Killuminati I’m sorry to hear that. It sucks to have but I’m a survivor of testicular and I can tell you that its a very curable cancer. I was diagnosed in 2018 on my 22nd birthday but I’m cancer free now
@Mansour O Killuminati I was diagnosed mid 2019 and been cancer free since finishing my treatment. Going on 6 months. Hope you had your surgery and are getting treatment. You'll feel like a million bucks soon enough.
I was stage 3A with lung invasion..... I'm going to Moffitt in Tampa now.... The other day they told me I need that bad Lymph node operation next to the Aorta....This sux.... But- The surgeon is great....He's highly ranked I hear... Done 5000 according to his protégé' ..... I responded well to the Chemo... It killed the Non Seminoma but the Teratoma didn't respond at all... My lungs cleared so that was good. My nails are falling out and I have neuropathy in my hands and feet still ....but my hair grew back.
@@aegisreflector1239 well... I am not doing well unfortunatly...Since They took out 25 Lymph nodes (& weeks ago) It was more extensive than usual (8 hours in surgery) but I should have recovered in a few weeks. But my bad luck I'm one of the rare cases where the LN's are not healing up and I'm getting leaking into the belly that has to be drained weekly. Called a Parasentheisis Now as of today I find out they could of tried a TPN line weeks ago and stopped food intake to "Give bowels a break" ..in other words no eating.... yipeee...sounds like fun.. it just gets belter and better. But that is supposed to help them heal..we'll see.
Hello, I'm a 21 year old male and my left testicle is significantly smaller than the right one. To put it in perspective my left one is like the size of a grape and my right one is a little less than the size of an egg. Did further self examination, and I have determined that my left testicle hasn't descended yet either. it's feel like its attached to some sort of cord near the top of my groin area that's not letting it drop down and am not sure if that has to do with anything. I also feel like there's a small bubble/ fluid like sac that's around my left testicle. I did some research and I don't think I have testicular cancer or anything concerning like that. However, I was wondering if there’s any sort of medical treatment or surgery for my left testicle to return to normal size? Please let me know if any of you have any information on this and what my first steps should be. I'm planning on see my personal physician and possibly a urologist after this coronavirus bullshit ends. Thank you!
Iv been to the doctor and a lump has been found paranoid of course but you have made me some way relaxed and looking at the brighter side of things just because you get a lump doesn't all ways mean it's cancer we'll I hope it's not gotta go to hospital in a few days to find out please if you read this say a prayer for me thanks.
I’m 35 years old and have noticed a lump on my right testicle a month ago. My ultrasound is next week. Hopefully, it will be benign. My fiancé and I, we still don’t have any kids and we’ve been trying for a year at least. I hope we’ll be able to have children even if I’m diagnosed with testicular cancer.
@@MdSaif-jp5rc well I cant go to the hospital bc of all the stuff going on but I only feel the pain when I lay down most of the time, it's weird bc the lump in on my left testicle but the pain is on the right :c
@@ya_boi_nugget863 i too have hard but painless lump on my right testicle arising from it, visited to the doctor last week but after examining by his hand he only gave me some medicine, im really scared after knowing how cancerous lump looks like, i mean is there any possibility that it is not cancerous? Im 20
Jesus thank you lordddddd! I saw the first slide and started crying because that’s exactly what I have and I was scared that it was a cancer but it isn’t🙌🏾🙌🏾
As a very experienced medical oncologist in germ cell tumor, I have to say that Dr Litwin has not presented a very "fair and balanced" viewpoint regarding surgical management of early stage disease and the "risk" of active surveillance. The data repeatedly show that active surveillance is safe and effective management of early stage seminoma or non‐seminoma and in most cases primary RPLND represents over treatment. In the US and around the world, active surveillance is the preferred management strategy for most early stage patients. Dr Litwin is promoting his own world view not a consensus of experts.
We can t afford the consensus of experts...because they will seldom post videos on youtube BECAUSE...RU-vid INFORMATION....is not profitable as having the same youtube viewers come to your private practice.This gives thelay person an idea and many would follow up with a urologist...just because of this video
I went to the doctor for a ultrasound and I had like 2 lumps and the doctor said that it was a infection of the epididmyis inflaming it and I just have to take antibiotics
So after being diagnosed with Graves I know that just getting checked could potentially you know put you at more risk it's not the same with getting multiple ultrasounds for testicular cancer correct?
I’m not a doctor so I couldn’t tell you but an actual doctor could so go get checked NOW!. I noticed a lump in my scrotum the other day and I assume I am getting checked this week
Wow. I learnt alot. I am diabetic and have pains in my tubes. I have been worried that it may be cancer. I am informed now that it is not. I have Visited my urologist enough time.
I got a lump in my testicle(non painful and also the size of the example shown), but i think its not attached in my testicle, because i can hold it firmly away from my testis, but its under the scrotum. I'm worried on what it could be.
I went to a doctor, and he told me that what i had was a not a testicular tumor, but just a part of my skin. Go see your doctor maybe he has a good news for you man.
Dice Suki yeah man I think a lot of men worry when they feel that. I have it too and I’m certain it’s just skin. Cancer grows from within. So if it’s detached I think you’ll be okay
If it's not part of your testicle, it will be harmless. I've had quite a few visits to the doctors over the years with testicle pain, the latest was ultra sound this morning due to at least 10 weeks of almost daily ache or pain - turned out to be a varicose vein in (unusually my right testicle) I've also had epididimytis, an infection in my "sperm tube" that took 2 courses of antibiotics to clear up. I've also had a cyst, although this was about 20 years ago. All of these harmless problems had very worrying symptoms ie pain, swelling, back pain, groin pain, abdominal pain. There are also tubes that attach to the top of the testicles, that when I feel them, it feels like lumps that are attached the testicles but they're not. I just wanted to come on here to reassure people who are as worried as I was!
#1 thing is to see a doctor ASAP!! i just went yesterday because i felt a small little ball attached to my left testical and i was concerned because it had been there for atleast a year and never changed in size but ky doctor said there was a 95% that it was just a “Hydrocele” which is just a small sack of fluid that produces when you are born not all men are born with it tho, its completely fine and non cancerous he even told me he had the exact same thing when he was in his late teens. But anyways i’ll update you guys when i go in for my ultrasound🤧
Djamal Sarr I’m actually doing pretty well now that they’ve told me it’s not a concern all the doctor did was ran a scan and she rubbed warm gel over my scrotum and that took about an hour and 2days later they called and said its just a normal cyst that will go away as time progresses.
Still a little anxious about if I have it or not. I might ask my mom if she can set up an appointment tomorrow, if I don't give myself a panic attack. Please pray for me🙏🙏🙏
Would a stage 2 still require the rplnd? Or would chemotherapy be the only therapy? I have non-seminoma with lymph node invasion present in pathology, kinda want to be prepared for my appointment in a few days.
I can feel a Lump in my Left Testicle, I noticed this long time ago, i think it the lump doesn't get biggger, and also i tried putting light on it to see if light went through and it did and nothing blocks the light, and i also feel a slight Dull pain in my Left Groin and my lower back but its very dull, im just scared and Worried about this because i need to pass my Medical Exam for my Employment. 😥 I want to see the doctor but cant go right now due to Corona Virus Outbreak,.. 😥😥
@@chrizangel4348 you need to see a doctor and urologist to get an ultrasound asap i had the same thing and mine swelled up 4-5 times normal over 2 months or so with little pain eventually to very painful. let me know if i can answer any further questions please