Testicular Self Examination

Patient Information

Urology Department

• Author ID: AT 
• Leaflet ref: Surg 057
• Version: 6
• Leaflet title: Testicular Self-Examination
• Last review: January 2025
• Expiry Date: January 2027

Testicular Self - Examination

Monthly testicular examinations from puberty can detect testicular cancer at an early, detectable stage. Self-examination is best performed after a warm shower/bath

Performing the Examination

Stand in front of a mirror:

• Check for any scrotal skin swelling
• Roll the testicles between thumbs and fingers of both hands – there should be no pain. If one testicle is slightly larger than the other, no need to worry, this is normal
• Feel the epididymis (soft tube behind testis) for any lumps

If a lump is found contact your doctor straight away

Other important conditions to be aware of: 

• Any enlargement/decrease in size of a testicle
• A feeling of heaviness in the scrotum and/or a sudden collection fluid in the scrotum
• A dull ache in the lower abdomen or groin

Signs unlikely to be testicular cancer include:

• A pimple/rash on the scrotum
• A free-floating lump on the scrotum or epididymis not attached to anything
• Pain or burning during urination
• Blood in the urine/semen

Anything out of the ordinary should be mentioned to your GP