The type of the treatment used to treat testicular cancer depends on the type of cancer cells and cancer stage. What's you brother's full diagnosis?
If the cancer is stage 1 and type seminoma, treatment will probably be surgery to remove the testis (radical inguinal orchiectomy), followed by external-beam radiation to the lymph nodes in the abdomen. If the cancer is nonseminoma radical inguinal orchiectomy and with or without removal of some of the lymph nodes is performed.
In stage 2 for seminoma cancer and no lymph nodes can be felt in the abdomen, and no lymph nodes block the ureters, treatment will probably be surgery to remove the testis and radiation is then given to the lymph nodes in the abdomen. If some lymph nodes are felt in abdomen treatment will probably be a radical inguinal orchiectomy followed by systemic chemotherapy or external-beam radiation therapy. If non seminoma is found, testis will be removed together with removal or dissection of lymph nodes or chemotherapy.
Seminoma cancer stage 3 is usually treated with surgical removal of testis, followed with systemic chemotherapy. Non seminima is treated only with chemotherapy.
All treatments can cause undesirable side effects.
Best wishes!