Testicular cancer and sequelae of treatment. Survivors of testicular cancer face an elevated risk of short- and long-term health problems stemming from surgery, radiation, and chemotherapy, according to a report in the November 2009 British Journal of Urology International. Survivors are nearly twice as likely to develop secondary cancers, especially if they smoke. As many as 25% of survivors experience peripheral neuropathy, hearing loss, and tinnitus, as well as Raynaud's syndrome-like symptoms and chronic heart complications (although the heart problems have decreased as the use of radiation therapy has declined). Higher levels of anxiety and reports of cognitive dysfunction are also common. On the positive side, as many as 80% of men treated for testicular cancer still produce enough sperm to father children. Long-term problems, such as cancer, pose greater risks than short-term difficulties, such as gastrointestinal problems, yet many treating physicians don't follow patients longer than five years after treatment.