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Testicular cancer is the most common cancer in men aged between 15 and 45 years. There are approximately 40 - 50 men diagnosed with testicular cancer per year in Northern Ireland.

Testicular cancer is a growth or tumour which appears in one of the testicles (which are commonly known as 'balls'). The testicles are the male reproductive organs contained within a bag of skin called the scrotum which hangs below the penis.


What causes testicular cancer?

We don't yet know what causes testicular cancer but we do know that men who were born with a descended or partly descended testicle are more likely to develop testicular cancer.

Research also indicates that if you have a father or a brother who has developed the disease you are at increased risk. If diagnosed at an early stage, testicular cancer can be easily treated and is nearly always curable. More than 50% of men consult their doctors after the cancer has started to spread making it more difficult to treat successfully.

A simple regular check - testicular self examination (TSE) - could help you to detect the early signs of the disease.

What is TSE?

TSE involves the routine examination of the testicles. It will help you to know what is normal for you and enable you to detect any changes early on.

It should be performed regularly, at least once a month, ideally in a bath or shower when the muscle in the scrotal sac is more relaxed.

You could ask your partner to help with the examination.

How to carry out TSE

Support the testicles and scrotum in the palm of the hand. It is common to have one testicle slightly larger than the other, or which hangs lower than the other. If one feels heavier than the other, this could indicate something is wrong.

Gently examine each testicle in turn. Using both hands, roll each testicle between the thumb and fingers. You should feel a soft tube at the top and back of the testicle. This irregular sausage-like structure is called the epididymis which store and transports sperm. This is often confused as something abnormal, however, it is a normal part of a man's anatomy. Feel the testicle itself. It should be smooth with no lumps or swellings.


Regular self examination could save your life

What to look for check for:

  • Small lumps or hardness.
  • Swelling or Tenderness.
  • A sensation of dragging or heaviness in the scrotum.
  • A dull ache in the lower abdomen or groin.

What if I notice a change?

Most lumps are benign (non-cancerous) but a few will be cancerous and should be treated immediately. Only a doctor can tell you which should be investigated further. Do not be embarrassed or nervous. Rapid diagnosis could save your life.

What if it is cancer?

If an abnormality is found, you may be referred for further investigation. If these tests show that it is cancer, the affected testicle may be removed or other treatments recommended.

Testicular cancer can be cured if detected at an early stage.

For further advice:
Telephone: 028 9080 3344.
Email: info@actioncancer.org

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