Age 20-34 (15-35)

History of undescended testes

Early puberty

Family history

White race

Higher social class

Obesity

Never married or late marriage

Maternal use of oral contraceptives or diethylstilbestrol during early pregnancy

Maternal abdominal/pelvic x-ray during pregnancy

Mother or sisters with breast cancer

A small, hard, painless lump-about the size of a pea

Feeling of heaviness in the testicle

Enlargement of the testicle

Change in how the testicle feels to the touch

Sudden accumulation of fluid/blood in the scrotum

Dull ache in the groin

Swelling or tenderness in other parts of the body (groin, breast, neck)

• Perform after a warm bath/shower

• Use both hands and start on right testicle

• Place index and middle finger underneath testicle
• Place thumb on top of testicle
• GENTLY roll the testicle between thumbs and fingers
• Check all sides of the right testicle and repeat procedure on left testicle
• Find the epididymis on the top and back of each testicle.

• Examine the testes in mirror while standing. Look for unusual contours and swelling of testes (noting that one usually hangs lower than the other)

Hydrocele

Varicocele

Spermatocele

Epididymitis

Testicular Torsion

Adenomatoid Tumors

Scrotal Hernia

Seminomas

Nonseminomas