Testicular Self-Examination
(TSE)

Testicular cancer is the most common type of cancer in men ages 20 to 25. Yet, because it accounts for only about 1 percent of all cancers in men, many people have never heard of this type of cancer.

Testicular cancer is of special concern to young men. It can occur anytime after age 15. It is less common in middle-aged and older men. White men are four times more likely to develop testicular cancer than black men. The rate among Hispanic men lies between those of blacks and whites.

Two groups of men have a greater risk of developing testicular cancer - those whose testicals have not decended into the scrotum and those whose testicles descended after age 6. Testicular cancer is 3 to 17 times more likely to develop in these men.

The testicles normally descend into the scrotum before birth. Parents should have their infant sons examined by a doctor to be sure that the testicles have properly descended. If they have not, this can be easily corrected with surgery.

In the past, testicular cancer was often fatel. Today, due to advances in treatment, testicular cancer is one of the most curable cancers, especially if detected and treated promptly.

SYMPTOMS

The most common symptoms of testicular cancer are a small, painless lump in a testicle or a slightly enlarged testicle. It is important for men to become familiar with the size and feeling of their normal testicles, so that they can detect changes if they occur.

Other possible symptoms include a feeling of heaviness in the scrotum, a dull ache in the lower stomach or groin, pain, tenderness or swelling of the testes, problems with urination, tenderness of the breast, or sudden accumulation of blood or fluid in the scrotum. These symptoms can also be caused by infections or other conditions that are not caused by cancer. A doctor can tell if you have cancer and what the proper treatment should be.

These symptoms may not mean cancer but if they do, the earlier it is treated, the better the chances of a cure. Keep in mind that the treatment of testicular cancer causes no physical reason to end sexual activity. Perfectly normal sexual relations are possible once the cancer has been treated.

HOW TO DO TSE (the self exam)

A simple procedure called testicular self exam (TSE) can increase the chances of finding a tumor early.

Men should perform TSE once a month - after a warm bath or shower. The heat causes the scrotal skin to relax, making it easier to find anything unusual. TSE is simple and only takes a few minutes:

• Examine each testicle gently with both hands. The index and middle fingers should be placed underneath the testicle while the thumbs are placed on the top. Roll the testicle gently between the thumbs and fingers. One testicle may be larger than the other. This is normal.
• The epididymis is a cord-like structure on the top and back of the testicle that stores and transports the sperm. Do not confuse the epididymis with an abnormal lump.
• Feel for any abnormal lumps on the testicle. These lumps are usually painless. If you do find a lump, you should contact your doctor right away. The lump may be due to infection, and a doctor can decide proper treatment. If the lump is not an infection, it may be a cyst, other lesion or cancer. Remember that testicular cancer is highly curable, especially when detected and treated early. Testicular cancer almost always occurs in only one testicle. 
   

Routine testicular self exams are important, but they cannot substitute for a doctor's exam. Your doctor should examine your testicles when you have a routine physical. You can also ask your doctor to check the way you do the exam.