In this episode of It Takes Balls, Dr. Rob Hamilton, a urologic oncologist at Princess Margaret Cancer Centre and University of Toronto in Canada, takes a deep dive into the science, strategy, and nuance of testicular cancer surveillance.

Dr. Hamilton brings a unique perspective on how testicular cancer treatment must consider not just a cure—but the decades of life that follow. With a focus on active surveillance, he demystifies the term and explains how closely monitored checkups using blood markers, imaging, and physical exams can help reduce the risk of over-treatment.

From managing relapse anxiety and reducing unnecessary CT scan radiation, to why Canadian guidelines emphasize quality of life and long-term survivorship, this conversation is rich with expert insight and practical clarity. Dr. Hamilton also unpacks the growing interest in alternatives like low-dose imaging, MRI, and even the potential of liquid biomarkers to reduce treatment burden without compromising outcomes.

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