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Testicular Examination

 

Many men don't like to examine their testicles in case they find something wrong. Ignorance about testicular cancer, or embarrassment, may make them wait - and worry? - before deciding to see the doctor if they do find something unusual. It is best to check regularly, and seek advice straight away if an abnormality is found.

 


Figure 1

 

The normal anatomy of the testis is shown in Figure 1. Each testis has a smooth, regular surface, but the epidymis is an irregular mass behind the testis which stores and transports sperm. In a warm bath or shower it can be distinguished from the testis.

 


Figure 2

 

Start by supporting the testes in the palm of the hand, and noting their size and weight. It is normal for one testis to hang lower than the other. Look for any noticeable increase in size or weight.


Figure 3

Gently roll each testis in turn between the thumbs and fingers - but don't press too hard. Check for any lumps or irregular swellings, or for any change in firmness. One encouraging sign - it is rare to develop cancer in both testes, so compare one with the other to see if it feels the same.

 

Other warning signs of testicular cancer include a sensation of heaviness in the scrotum or a dull ache in the lower abdomen or groin.