Weill Cornell Medicine Urology
Weill Cornell Medicine Urology
Testis Cancer - Treatment Options

Testis Cancer - Treatment Options

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Following radical orchiectomy, imaging and serum tumor markers give information about the testicular type (seminoma versus non-seminoma) and cancer stage.

For men with Stage I non-seminoma, surveillance may be an appropriate option and may provide a cure in approximately 70% of men without the risks of chemotherapy or surgery. A recent study by Sharir et al., looked closely at the best means of detecting tumor spread in a group of 170 patients being followed by surveillance. As expected, almost 30% had disease progression within 2 years after initial diagnosis and were treated. The most important tools for diagnosing these patients included history, physical examination, tumor markers, and CT scanning at regularly performed intervals, starting 2 months after initial orchiectomy. Even with this extremely close follow-up, one patient died of cancer.

Two cycles of chemotherapy is also an option for men with Stage I non-seminoma. The advantage of this approach is to treat the 30% of men who may have residual disease; however, the disadvantage are the side effects of chemotherapy, which include potential damage to hearing, and/or to the kidneys. Side effects can also include neuropathy, or hypersensitivity to cold and heat, and numbness or tingling sensations in the hands or feet.

Retroperitoneal lymph node dissection (RPLND) is surgical removal of the lymph nodes where testicular cancer may land. Advances in surgical approaches to RPLND have significantly decreased the complications from this procedure. The developments of nerve sparing surgery and modified template dissections have limited the previously encountered problems of retrograde ejaculation following this operation. Although this was traditionally performed using an open surgical approach, faculty at Weill Cornell offer a minimally invasive approach with robotic assistance. This shortens the length of hospitalization to an overnight stay and leads to shorter return to activities of daily living.

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Physicians & Faculty

Dr. Peter N. Schlegel, MD, FACS | Cornell Urology

Peter N. Schlegel

M.D., F.A.C.S.

212.746.5491
212.746.5491
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
The LeFrak Center for Robotic Surgery
Dr. Marc Goldstein, M.D., F.A.C.S. | Weill Cornell Medicine

Marc Goldstein

M.D., F.A.C.S.

212.746.5470
212.746.5470
Aetna-Weill Cornell POS, Medicaid, Medicare, Rockefeller University-CoreSource
Brady Urologic Health Center

Jim C. Hu

M.D., M.P.H.

212-746-4600
212-746-4600
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Access, Affinity Essential, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS Pathway X Enhanced, EBCBS PPO/EPO, Emblem Select Care, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, GHI, Health First, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Medicaid, Medicare, Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Medicare], Oxford Health Plans [Metro/Core/Charter], POMCO, Rockefeller University-CoreSource, UHC Community Plan - Essential Plan, UHC Community Plan - Medicaid Plan, UHC Compass-HMO, UHC Medicare, United Empire Plan, United Healthcare Commercial, VNSNY CHOICE Medicare, VNSNY CHOICE SelectHealth
The LeFrak Center for Robotic Surgery
Dr. David Michael Nanus, M.D.

David M. Nanus

M.D.

646.962.2072
646.962.2072
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Health Plan, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS PPO/EPO, GHI, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Oxford Health Plans [Liberty], Rockefeller University-CoreSource, United Empire Plan, United Health Care, United Health Care [Community Plan]
Dr. Douglas S. Scherr, M.D. | Weill Cornell Medicine

Douglas Scherr

M.D.

212.746.5788
212.746.5788
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS PPO/EPO, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), GHI, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicare], Medicaid, Medicare, Rockefeller University-CoreSource, United Empire Plan, United Healthcare Commercial
Brady Urologic Health Center
Dr. Scott T. Tagawa, M.D., MS

Scott T. Tagawa

M.D.

646.962.2072
646.962.2072
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, Affinity Access, Affinity Health Plan, Blue Priority Network, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS Pathway X, EBCBS PPO/EPO, Emblem Select Care, Empire BCBS HealthPlus, Empire BCBS HealthPlus (CHP), Fidelis Care, GHI, Health First, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Medicaid, Medicare, Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Medicare], Oxford Health Plans [Metro/Core/Charter], POMCO, Rockefeller University-CoreSource, UHC Compass, United Empire Plan, United Health Care, United Health Care [Community Plan], United Healthcare Commercial, VNSNY CHOICE Medicare, VNSNY CHOICE SelectHealth
Dr. Himisha Beltran, M.D.

Himisha Beltran

M.D.

212.746.5449
212.746.5449
AETNA [Medicare], AETNA-HMO, AETNA-PPO, Aetna-Weill Cornell POS, CIGNA, EBCBS HMO, EBCBS Mediblue, EBCBS PPO/EPO, Health First, Health Insurance Plan of NY (HIP), Health Insurance Plan of NY (HIP) [Medicaid], Health Insurance Plan of NY (HIP) [Medicare], Oxford Freedom, Oxford Health Plans [Liberty], Oxford Health Plans [Medicare], Rockefeller University-CoreSource, United Empire Plan, United Health Care, United Health Care [Community Plan]

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