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How Common Is Testicular Cancer?
Testicular cancer is the most common form of cancer in young men, mostly between the ages of 20 and 35, although it can develop in boys as young as 15. Incidence has almost doubled in the last twenty years, with about 2,000 cases a year in the UK.

So What Can You Do To Reduce The Risk Of Developing Testicular Cancer?
Scientists are still investigating the causes of testicular cancer and do not know of any treatments that could prevent it. The most important thing is to check your testicles regularly to detect any changes in their shape or size. The most significant risk factor is undescended testis at birth with 10% of patients having a history of this condition. Testicular cancer can have a strong genetic component, with brothers, fathers or sons of testicular cancer patients having up to a 10-fold increased risk of developing the disease.

How Is Testicular Cancer Diagnosed?
Testicular cancer can be diagnosed through regular self-checking of the normal size and shape of your testicles. When these have altered in some way, it is important to consult with your doctor. Please note that most lumps are benign (non-cancerous) and no operation is necessary.

How Is Testicular Cancer Treated?
Testicular cancer can be treated by surgery, by radiotherapy or by chemotherapy. In some cases these treatments are combined. The most straightforward and safest way of dealing with a cancerous lump is to remove the testicle.

Can A Man Diagnosed With Testicular Cancer Make A Full Recovery?
99% of testicular cancers can be cured if caught at an early stage. Even when the tumour spreads, the cure rate is around 95%. Treatment may be very intensive, but most patients cured will have no long-term side effects from treatment. A small proportion of patients will become infertile after chemotherapy treatment. Other side effects of treatment are uncommon but may include damage to the nerve endings, hearing and poor circulation. There may be a slightly increased risk of developing other cancers. The risks of these problems are lessened if the cancer is treated early.

Will The Operation Affect My Sex Drive& Will I Still Be Able To Father Children?
Once you have recovered from the immediate effects of the operation (it can be sore for a few days afterwards) you should be able to have sex as normal. In most circumstances, one testicle is sufficient to produce sperm to father children. If additional treatment is required following surgery, your fertility can be affected and you will always be offered sperm banking before this treatment commences. Being diagnosed with cancer can be stressful and this can affect the level of performance for some men. If this is the case, please consult with your doctor.

How Will It Look, After The Operation?
Following the surgery you may not look very different to how you were before the operation especially if you have a prosthetic testicle inserted. You will have a small scar in your groin, although the scrotal area itself will be little changed.

Will I Lose My Masculinity?
This is a common worry for men with testicular cancer. Masculinity is due to the testosterone hormone that is produced by the testicles. In the majority of men one testicle can produce enough testosterone to support your masculinity. Occasionally if the remaining testicle has been damaged, your doctor can recommend replacement testosterone therapy to maintain this aspect of your life.

How Do I Carry Out A Self-Examination?
We recommend this is done after a warm shower or bath when the scrotal skin relaxes. Support the scrotum in the palm of your hand and become familiar with the size and weight of each testicle. Examine each testicle by rolling it between your fingers and thumb. Gently feel for lumps, swellings, or changes in firmness. Remember each testicle has an epididymis at the top which carries sperm to the penis. Don't panic if you feel this - it's normal.

Prostate Cancer - How Common Is It?
95% of all prostate cancer patients are aged between 45 and 80. About 30,000 men in the UK are diagnosed with prostate cancer each year. It has become the most common cancer in men overtaking lung cancer. With PSA testing on the increase and an ageing population, incidence is predicted to rise ahead of breast cancer over the next decade.

What Causes Prostate Cancer? Is There Anything I Can Do To Reduce The Risk Of Developing It?
Little is known about the genes and molecular mechanism of prostate cancer. Men with a brother or father with prostate cancer have a 3-5 fold increased risk. It has few symptoms in its early stages. When symptoms occur they may include difficulties in urinating or pain and/or stiffness in the lower back and hips. However these symptoms are more commonly caused by other conditions, such as benign (non-cancerous) enlargement of the prostate or arthritis. If you have concerns, you should consult with your doctor.

How Is Prostate Cancer Diagnosed?
Early diagnosis of prostate cancer is important for successful treatment. Diagnosis methods include the PSA Blood Test, which tests the level of 'Prostate Specific Antigen' in the blood; digital rectal examinations to feel the size of the prostate gland and biopsies which take tiny samples of tissue from the prostate. The PSA test is not specific for cancer and 'raised' levels can occur due to benign enlargement or inflammation of the prostate gland. Microscopic examination of the biopsy is required to confirm the presence of cancer.

How Is Prostate Cancer Treated?
Some prostate cancers grow so slowly that no treatment is needed. Instead, an active surveillance policy is employed to monitor the condition. When more active treatment is required surgery, radiotherapy, hormone therapy or a combination of these treatments are used. Surgery, the removal of the prostate gland, is known as a 'prostatectomy' and is commonly used in the US. Both radiotherapy and prostatectomy are used in the UK.

Will Any Treatment Affect My Sex Drive And Will I Still Be Able To Father Children?
Different treatments for prostate cancer can cause impotence, reduced ejaculation, a lowered sex drive, urinary incontinence, bowel problems, hot flushes and sweats and tiredness. Surgery, radiotherapy and hormone therapy all have different side effects which need to be considered in any decisions about treatment.

Treatment for prostate cancer is likely to cause infertility. This should be discussed with your doctor before you start treatment.

Is The Chance Of Developing Prostate Cancer Influenced By Dietary Or Environmental Factors?
Eating a diet high in animal fat and low in fresh fruit, vegetables and fish and being exposed to cadmium (a heavy metal) or 'radiation' have been identified as possible risk factors which may be associated with prostate cancer. However research is still continuing in this area. Some preliminary research suggests that Lycopene (the compound that gives the tomato its appealing red colour), selenium and vitamin E in the diet could play a preventative role in the development of prostate cancer.

Is It Necessary For All Men Over A Certain Age To Be Screened?
The PSA test (Prostate Specific Antigen) can be used to screen for early prostate cancer. A raised result does not necessarily mean you have cancer, a positive biopsy is needed to confirm cancer which will occur in about one man out of every five. If prostate cancer is diagnosed, it is not necessarily life threatening and curative treatment many not be required - as most men diagnosed with early prostate cancer following a positive PSA test would be expected to have slowly growing cancer which should not cause any problems during their natural lifespan.