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Testicular Self-Exam
Aka: Testicular Self-Exam, Testicular Self Exam
- Indications
- Testicular Cancer screening by young men under age 34
- Frequency of exam
- Patient or their partner performs self-exam monthly
- Consider performing exam during warm shower or bath
- Technique
- Cup Scrotum with one hand and note any changes
- Check each Testicle one at a time
- Gently roll Testicle between fingers and thumb
- Normal testicular findings
- Normal variation
- One Testicle may be larger than the other
- Left tisticle may lie lower than right
- Testicle is normally oval shaped
- Testicle should be firm, smooth, and Rubbery
- Abnormal testicular findings
- Identify lumps or bumps on Testicle
- Examine epididymis (next to Testicle)
- Epididymis should be soft and mobile
- Testicle may be mildly tender
- Examine vas deferens (spermatic cord)
- Vas deferens is contiguous with epididymis
- Vas deferens should be smooth and mobile
- Interpretation
- Patient pursues medical care for any abnormal findings
- References
- Clore (1993) J Pediatr Health Care 7:264-8 [PubMed]