Can we cure testicular cancer and retain fertility?

1. 30-40% of the patients with newly diagnosed testicular cancer want to father a child after the treatment. 2. At least half of the patients with testicular cancer who at the time of diagnosis state the desire for future paternity, can expect to father a child after treatment. 3. The intensity of treatment is the most determinant parameter for post-treatment fertility. Unnecessary over-treatment, in particular extended retroperitoneal surgery, should be avoided. 4. The overall role of sperm banking is questionable in the management of testicular cancer.