Treatment of testicular cancer can vary. The stage of the cancer (how far along it is), whether it’s spread to other parts of the body, tumor size, family history and personal medical history all affect how treatment is approached.[2] We can’t stress this enough: the sooner you start working with a doctor, the easier your treatment and recovery—as well as your chances for survival—are likely to be. In general, though, a urologist will recommend one or more of these treatment options:Surgery (orchiectomy) : Surgery to remove the affected testicle, and sometimes some of the lymph nodes, is usually the first step. Lab tests will determine the type and stage of cancer at hand, and will help a doctor determine if additional treatments are necessary.Radiation: High-energy X-rays or other types of radiation are used to kill cancer cells. External radiation directs radiation toward the cancer from outside the body. Internal radiation delivers radiation directly into or near the cancer.Chemotherapy: Powerful, cancer-killing drugs are used to stop the cancer from growing, either by killing the cancer cells or stopping them from dividing.