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Conditions · Testicular Cancer Testicular lump or swelling? Rare, and highly treatable when caught early.

Testicular cancer accounts for around 1% of cancers in men, mostly between the ages of 15 and 49 - prompt assessment gives the best outcome. No GP referral needed.

Mr Maneesh Ghei Treated personally by Mr Maneesh GheiConsultant Urological Surgeon · GMC 5208045 BupaPlatinum Consultant
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In short

The most common early sign of testicular cancer is a painless lump or swelling in one testicle - it is uncommon, mostly affects men aged 15 to 49, and is highly treatable, particularly when found early.

Medically reviewed by Mr Maneesh Ghei·GMC 5208045·September 2026

Recognise It

Changes worth having checked

A painless lump or swelling

Often found during self-examination, this is the most common early sign of testicular cancer.

Ache or heaviness

A dull ache in the scrotum or lower abdomen, or a feeling of unusual heaviness in the scrotum.

Changes needing urgent review

Any change in the size, shape or texture of a testicle, or a sudden build-up of fluid in the scrotum.

Diagnosis & Treatment

From a lump to a clear answer

Physical examination

A thorough examination checks for lumps, swelling or changes in the testicles.

Ultrasound scan

A non-invasive scrotal ultrasound shows whether a lump is solid or fluid-filled.

Blood tests

Tumour marker tests (AFP, HCG and LDH) help confirm and guide the diagnosis.

Treatment options

From surveillance to inguinal orchidectomy, radiotherapy or chemotherapy, tailored to the type and stage of the cancer.

Simple, Fast, Clear

Your path to the right treatment in 3 steps

1

Book without delay

A new lump or change deserves prompt assessment - most patients are seen within a few days.

2

Scan and blood tests

Ultrasound and tumour marker blood tests confirm what a lump is likely to be.

3

Treatment planned around you

From surveillance to surgery, radiotherapy or chemotherapy, explained clearly before anything is decided.

Mr Maneesh Ghei, Consultant Urological Surgeon
GMC 5208045 · FRCS (Urol)
Your Consultant

Mr Maneesh Ghei

MBBS, MS, MRCSEd, MD (UCL), FRCS (Urol)

Mr Ghei is a consultant urological surgeon with a specialist focus on prostate diagnosis and treatment. He holds a Research MD from University College London and is a Fellow of the Royal College of Surgeons.

In his NHS role he is Cancer Lead and Academic Lead at Whittington Hospital London - one of a small number of consultant urologists in the UK to hold both positions. Every private patient is cared for by Mr Ghei personally, from first appointment through to any treatment that follows.

Cancer Lead · Whittington Hospital BupaPlatinum recognised consultant English · Hindi · Punjabi · Urdu
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Common Questions

Before you book

How often should I perform a testicular self-exam?
Once a month is recommended, ideally after a warm bath or shower when the scrotal skin is relaxed. Gently roll each testicle between the fingers and thumb, feeling for lumps or changes, and contact a doctor promptly if you notice anything unusual.
Does losing a testicle affect fertility or sexual function?
Losing one testicle typically does not affect fertility or sexual function, as the remaining testicle generally compensates. Options such as a testicular prosthesis are available for men concerned about appearance.
What are the survival rates for testicular cancer?
Survival rates are very high, particularly with early detection and treatment. The overall five-year survival rate is around 95%, rising to as high as 99% for cancer confined to the testicle.
Is testicular cancer hereditary?
A family history of testicular cancer, or conditions such as Klinefelter syndrome, can increase risk. Most cases, however, occur without any family history.
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