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Treatment of Testicular Cancer in Germany

Due to the difficulties associated with the organization of treatment in Turkey, Switzerland and South Korea, we have currently suspended the processing of requests to these regions.

If you are interested in treatment in Germany, please leave a request and our specialists will contact you as soon as possible.

 

Cost for treatment

Diagnostic tests for testicular cancer
 from  854
Treatment of testicular cancer with orchidectomy
 from  4299
Treatment of testicular cancer with radical orchidectomy with prosthetics
 from  4352

University Hospital of Ludwig Maximilian University of Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital of Ludwig Maximilian University of Munich is regularly ranked among the best medical institutions in Germany! The hospital is the largest multidisciplinary medical facility, as well as a leading research and training center in Germany and Europe. The hospital is proud of i
Diagnostic tests for testicular cancer
2005
Treatment of testicular cancer with orchidectomy
9351
Treatment of testicular cancer with radical orchidectomy with prosthetics
9547

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Adult and Pediatric Urology

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Diagnostic tests for testicular cancer
1935
Treatment of testicular cancer with orchidectomy
8780
Treatment of testicular cancer with radical orchidectomy with prosthetics
9154

Urology Hospital Munich-Planegg Munich

10/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to Focus magazine, the Urology Hospital Munich-Planegg Munich ranks among the top specialized German hospitals! The hospital was founded in 1970 by Dr. Rudolf Castringius. During this time, it became the leading provider of male health care in Germany. In addition, the hospital has the status of one of the best medical
Diagnostic tests for testicular cancer
2422 help1922
Treatment of testicular cancer with orchidectomy
8261
Treatment of testicular cancer with radical orchidectomy with prosthetics
8629

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Urology

According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
Diagnostic tests for testicular cancer
1857
Treatment of testicular cancer with orchidectomy
8262
Treatment of testicular cancer with radical orchidectomy with prosthetics
8403

Helios Hospital Berlin-Buch

9.7/10
location_onGermany, Berlin

Department of Urology

According to the reputable Focus magazine, the Helios Hospital Berlin-Buch ranks among the top medical facilities in Germany! The clinic is proud of its rich history, which dates back over 100 years, as well as the status of a maximum care medical center with exceptionally high success treatment rates. The medical institution is
Diagnostic tests for testicular cancer
1933
Treatment of testicular cancer with orchidectomy
8499
Treatment of testicular cancer with radical orchidectomy with prosthetics
8391

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
Diagnostic tests for testicular cancer
2494
Treatment of testicular cancer with orchidectomy
11972
Treatment of testicular cancer with radical orchidectomy with prosthetics
12236

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all field
Diagnostic tests for testicular cancer
0
Treatment of testicular cancer with orchidectomy
0
Treatment of testicular cancer with radical orchidectomy with prosthetics
0

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
Diagnostic tests for testicular cancer
2003
Treatment of testicular cancer with orchidectomy
9203
Treatment of testicular cancer with radical orchidectomy with prosthetics
9356

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Erlangen ranks among the top German medical facilities! The hospital is one of the leading medical facilities in Bavaria and offers the highest level of medical care, which is characterized by the close intertwining of clinical activities with research and training of medi
Diagnostic tests for testicular cancer
1952
Treatment of testicular cancer with orchidectomy
8751
Treatment of testicular cancer with radical orchidectomy with prosthetics
8932

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Urology

According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
Diagnostic tests for testicular cancer
1920
Treatment of testicular cancer with orchidectomy
8421
Treatment of testicular cancer with radical orchidectomy with prosthetics
8358

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Urology

According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
Diagnostic tests for testicular cancer
2348
Treatment of testicular cancer with orchidectomy
10811
Treatment of testicular cancer with radical orchidectomy with prosthetics
10750

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Urology

According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
Diagnostic tests for testicular cancer
1978
Treatment of testicular cancer with orchidectomy
8524
Treatment of testicular cancer with radical orchidectomy with prosthetics
8388

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Urology

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Diagnostic tests for testicular cancer
1964
Treatment of testicular cancer with orchidectomy
9455
Treatment of testicular cancer with radical orchidectomy with prosthetics
9469

University Hospital RWTH Aachen

8.7/10
location_onGermany, Aachen

Department of Adult and Pediatric Urology

According to the prestigious Focus magazine, the University Hospital RWTH Aachen ranks among the top German hospitals! As a maximum care university medical facility, the hospital guarantees patients first-class medical services combined with a respectful and human attitude. The hospital integrates all the modern options for the
Diagnostic tests for testicular cancer
1959
Treatment of testicular cancer with orchidectomy
9470
Treatment of testicular cancer with radical orchidectomy with prosthetics
9488

University Hospital Duesseldorf

9.5/10
location_onGermany, Duesseldorf

Department of Adult and Pediatric Urology

According to the authoritative Focus magazine, the University Hospital Duesseldorf ranks among the top Germany hospitals! The hospital is an excellent example of a combination of high-quality health care, research and teaching activities. With more than 50,000 inpatients and about 300,000 outpatients every year, the hospital is
Diagnostic tests for testicular cancer
2132
Treatment of testicular cancer with orchidectomy
9315
Treatment of testicular cancer with radical orchidectomy with prosthetics
9534

University Hospital Tuebingen

9.2/10
location_onGermany, Tuebingen

Department of Urology

According to the prestigious medical publication Focus, the University Hospital Tuebingen ranks among the top five German hospitals! The hospital was founded in 1805, therefore it is proud of its long history, unique experience, and outstanding achievements in the field of medical care, as well as research and teaching activitie
Diagnostic tests for testicular cancer
1909
Treatment of testicular cancer with orchidectomy
9073
Treatment of testicular cancer with radical orchidectomy with prosthetics
8791
| from Booking Health GmbH

Testicular cancer is a disease with a favorable prognosis. If a person receives high-quality treatment, good results will be achieved even in case of advanced tumors. With local and locally advanced cancer, 96-99% of patients live for 5 years or more after a diagnosis. If distant metastasis develops, a five-year survival rate in developed countries reaches about 75%.

Treatment according to the stages of the disease

The way how an oncologist will treat testicular cancer depends on the histological type of the tumor and the stage of the disease, which is determined by the spread of metastasis to regional lymph nodes, as well as to distant parts of the body. All histological types are divided into seminomas and non-seminoma tumors, which mainly include teratomas and embryonal carcinomas. Chorioncarcinomas and lymphomas are much less common.

In Germany, doctors have successfully cured most types of testicular cancer, even in case of end-stage disease. The main treatment methods are surgery and chemotherapy. Seminomas can also be treated using radiation therapy. These tumors are classified as a separate group because of their sensitivity to radiation. 

Stage 0

At the stage of non-invasive cancer, a disease can only be diagnosed by chance when performing a testicular biopsy for reasons not related to the tumor.  For example, this can be done in case of infertility.

In situ testicular cancer does not require treatment. The reason for this is that far from always this tumor will develop and transform into invasive cancer. Most patients with malignancies of appropriate localization are young people under 35 years of age. It is undesirable to resect testicles in such patients because of changes in the hormonal profile, problems with fertility and erection.

Therefore, in most cases, the patient is monitored. From time to time, he should undergo an ultrasound of the scrotum, blood testing to detect tumor markers. Only if testicular cancer begins to progress, is treatment indicated. The patient is indicated either surgery or radiation therapy. 

Stage 1

The patient should undergo a radical surgery, which is called orchiectomy. It involves the removal of the testicle along with the spermatic cord. The tactics after surgery can be different: 

Active surveillance. It lasts at least 10 years. The patient should have a medical examination and tests every 3 months, and later every 6 months. A CT scan or chest x-ray is performed at similar intervals.

In most patients, testicular cancer does not return after such treatment, but it can recur after surgery on average in 15% of men. This is usually due to the presence of lymph node metastasis. In case of relapse, the disease can still be completely cured. To this end, radiation therapy or chemotherapy can be used.

Radiation therapy. The doctor may recommend irradiation of paraaortic lymph nodes after surgery. They are located in the lower abdomen, near the aorta. Seminoma cells are very sensitive to radiation, so low doses are used. Although it is well tolerated by the patient and does not lead to complications, it can destroy all cancer cells. The patient is usually indicated 10-15 sessions of radiation therapy within 2-3 weeks. 

Chemotherapy. It is an alternative to radiation therapy. Chemotherapy is safer and has comparable effectiveness. The patient may need 1 or 2 courses of chemotherapy. Chemotherapy is always prescribed in situations when the levels of tumor markers in the blood remain high after surgery.

The stage 1 non-seminoma tumors can also be successfully cured in most cases. There are two variants of orchiectomy for these tumors, namely orchiectomy with the removal of paraaortic lymph nodes or without their removal. Each approach has its advantages and disadvantages: 

  • removal of lymph nodes reduces the risk of relapse; 
  • if the nodes are not removed, there is no risk that the man will have complications (the most common of them are ejaculatory disorders).

It is still more common not to resect nodes. Although relapses develop more often, the patient is constantly monitored, so they can be detected early and successfully cured. The doctors almost do not apply irradiation to treat non-seminoma tumors, but prefer chemotherapy. 

At stage 1B, lymph node removal is a must. The surgery is followed by lymph node testing. Should cancer cells be detected, the patient will be prescribed a course of chemotherapy. It usually includes from 2 to 4 cycles, which depends on how many lymph nodes were affected by metastasis. 

Stage 2 

To treat seminoma, the surgeons perform an operation to remove testicular cancer. The surgical intervention is followed by either resection or irradiation of paraaortic lymph nodes. The doses of radiation are higher than at stage 1. 

Instead of radiation, chemotherapy can be used. It is an option of choice for stage 2B characterized by multiple metastatic foci and lymph nodes. Radiation therapy can be rarely used. The irradiation instead of chemotherapy can only be used in situations when the development of metastatic foci in the lymph nodes has not led to their enlargement. 

In stage 2C testicular cancer, only chemotherapy can be used, whereas radiation therapy is contraindicated. 

The non-seminoma tumors cannot be treated using radiation. The testicular removal is followed by the assessment of the levels of tumor markers. If they are normal, the doctors may limit themselves to removing paraaortic lymph nodes. If they do not include cancer cells, a man will not have to undergo chemotherapy, but he will be monitored for the timely detection of signs of relapse. If the patient has high levels of tumor markers after surgery to remove testicular cancer or signs of metastatic lesions in the removed lymph nodes, he will be indicated chemotherapy. 

Stage 3 

Testicular cancer does not have stage 4. The third one is the last. It is diagnosed in case of availability of distant metastases. Despite their development, testicular cancer can still be completely cured. 

The treatment process begins with surgery, which involves the removal of the testicle with the spermatic cord. The surgical procedure is followed by chemotherapy. Depending on the histological type of the tumor and the characteristics of the course of the disease, there can be used different schemes. 

The course of chemotherapy can result in the reduced levels of tumor markers in the blood, which means that testicular cancer is more likely to be cured. 

The metastasis can sometimes remain after treatment. It can be located in the brain, lungs, retroperitoneal lymph nodes. If the remaining tumors are single, they are subject to surgical removal. Additionally, high-dose chemotherapy can be used, whereas in case of seminoma the irradiation of metastatic foci is indicated.

Treatment in Germany with the Booking Health company

To cure testicular cancer, you can use the services of the German doctors. The Booking Health company is ready to arrange your testicular cancer treatment in Germany. We provide the following services and advantages: 

  • Selection of the best hospital, which specializes in testicular cancer treatment and shows the best results in the treatment of this disease.  
  • Reduced cost of treatment in Germany due to the lack of overpricing and additional coefficients for foreign patients. 
  • Preparation of the program taking into account previous examinations.  
  • Booking an appointment with a doctor on the most suitable dates for you. 
  • Communication with your attending physician. 
  • Program monitoring.
  • Monitoring of invoices, return of unspent funds.
  • Communication with the hospital upon treatment completion in Germany.
  • Buying and forwarding of medicines. 
  • Organization of additional medical services. 

We will take care of all the organizational issues for you trip. We will help you get a visa, book a hotel and airline tickets for you, we will meet you at the German airport and deliver to the hospital. Once treatment is completed, you will be provided with a return transfer. You will be accompanied by an interpreter and coordinator.

Authors: Dr. Nadezhda IvanisovaDr. Farrukh Ahmed




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