Performing a Testicular Self-Exam (TSE)

Because the cause is unknown, there's no way to prevent testicular cancer. However, a simple procedure called testicular self-examination (TSE) can improve your chances of finding a tumor. Beginning in your midteenage years, and continuing throughout your life, examine your testicles regularly.

A good time to examine your testicles is after a warm bath or shower. The heat from the water relaxes your scrotum, making it easier for you to find anything unusual. Do this once a month.

To do this examination, follow these steps:

• Stand in front of a mirror. Look for any swelling on the skin of the scrotum.
• Examine each testicle with both hands. Place the index and middle fingers under the testicle while placing your thumbs on the top.
• Gently roll the testicle between the thumbs and the fingers. Remember that the testicles are usually smooth, oval shaped and somewhat firm. It's normal for one testicle to be slightly larger than the other. Also, the cord leading upward from the top of the testicle (epididymis) is a normal part of the scrotum. By regularly performing this exam, you will become more familiar with your testicles and aware of any changes that might be of concern.
• If you find a lump, call your doctor as soon as possible. Testicular cancer is highly treatable, especially when identified early.
  

Regular self-examination is an important health habit. But it can't substitute for a doctor's examination. Your doctor should check your testicles whenever you have a physical exam. If you have an undescended testicle — less than two testicles in your scrotum — be sure to tell your doctor, who may refer you to a urologist for treatment or a more specialized exam.