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Testicular Self-Exam (TSE)
- Undescended testicle
- Family member with testicular cancer
- History of testicular cancer
Steps for a Testicular Self-exam
- To make it easier to remember, select some specific day (such as the first day of the month) when you will routinely perform this exam.
- It is easier to do the exam while standing up after a warm bath or shower. The warmth makes the skin of the scrotum more soft and relaxed, so it is easier to examine the testicular surface underneath it.
- Take extra time on your first self-exam to find out how your testicles feel normally. For example, the back surface contains the epididymis, which stores sperm from the testicles. It feels like a small bump on the side of the testis, which might be mistaken for an abnormal growth if you are unaware of the area.
- Hold each testis in your hand, feeling whether its size or weight have changed since your last self-exam.
- Look at your testes in the mirror to see if there are any changes.
- Hold an individual testis in both hands and roll it slowly with the thumb and fingers of your hand, feeling for small lumps or areas of soreness. The most common first finding of testicular cancer is a small, firm lump attached to the testis.
American Cancer Society http://www.cancer.org
American Urological Association http://www.auanet.org
National Cancer Institute http://cancer.gov
Canadian Cancer Society http://www.cancer.ca
Health Canada http://www.hc-sc.gc.ca
Goldenring JM. Equal time for men: teaching testicular self-examination [editorial]. J Adolesc Health Care. 1986;7:273.
Rovito MJ, Gordon TF, Bass SB, et at. Perceptions of testicular cancer and testicular self-examination among college men: a report on intention, vulnerability, and promotional material preferences. Am J Mens Health. 2011;5(6):500-507.
Seminoma. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what. Updated January 3, 2013. Accessed January 29, 2013.
Shaw J. Diagnosis and treatment of testicular cancer. Am Fam Physician. 2008;77(4):469-474.
Testicular cancer. American Cancer Society website. Available at: http://www.cancer.org/acs/groups/cid/documents/webcontent/003142-pdf.pdf. Updated January 17, 2013. Accessed on January 29, 2013.
Zoltick BH. Shedding light on testicular cancer. Nurse Pract. 2011;36(7):32-39.
- Reviewer: Brian Randall, MD
- Review Date: 01/2013
- Update Date: 01/29/2013