Testicular Exam

The testicular exam is a part of the physical examination which, in part, aims to detect any abnormalities of the testicles which may be associated with testicular cancer. Most types of testicular cancer is treatable and even curable if caught and treated early.

Regular testicular examination is recommended in those who have a higher risk for development of testicular cancer, such as those with a previous history of testicular cancer, abnormal development of the testes, undescended testicle or Klinefelter's syndrome.

However, for most men with no particular predisposing risk factors, most physicians have now found that any routine screening is always effective. That being said, detecting these cancers early before they become too invasive or spread (metastasize) can be important and can increase the chance that treatment will be successful.

On physical examination, physicians often examine the testes, feeling for any lumps, masses or other abnormalities. However, men can perform their own testicular self-examination at any time to help identify early problems. Because testicular cancer can occur in relatively young men, beginning to perform self examination at an early age may help catch early tumors. Beginning early also allows men to get a sense for what their testicles feel like normally, so that if a cancer begins to develop they will notice the difference and be able to bring it to their doctors attention.

The testicular self-examination is best performed in a standing position and when the skin of the scrotum is warm and relaxed. The best time to do this is usually in a shower or immediately after a shower. The testicle is gently held with one hand while it is rolled gently, but firmly, by the fingers of the other hand, feeling its entire surface. Attention should be paid to any irregularities in the surface of the testicle, including firm masses or lumps. The testicular exam is repeated on the other testicle.

If you notice any concerning areas of a testicle, this should be brought to the attention of your physician who can initiate further testing for testicular cancer.