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    The document provides instructions for performing a testicular self-exam. It describes examining the scrotum and testes by palpating with both hands to check for any abnormalities like lumps or swelling. Specific instructions are given to feel each testis and epididymis gently between the thumb and fingers to identify any irregularities. Performing regular self-exams can help detect testicular cancer early.

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    TESTICULAR EXAM

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    The document provides instructions for performing a testicular self-exam. It describes examining the scrotum and testes by palpating with both hands to check for any abnormalities like lumps or swelling. Specific instructions are given to feel each testis and epididymis gently between the thumb and fingers to identify any irregularities. Performing regular self-exams can help detect testicular cancer early.

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    206 views3 pages

    Testicular Exam

    Uploaded by

    minikatiting
    The document provides instructions for performing a testicular self-exam. It describes examining the scrotum and testes by palpating with both hands to check for any abnormalities like lumps or swelling. Specific instructions are given to feel each testis and epididymis gently between the thumb and fingers to identify any irregularities. Performing regular self-exams can help detect testicular cancer early.

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    Testicular (Self) Exam > The male genitalia are inspected for abnormalities and palpated for masses.

    > A simple technique that men can use to assess for changes in their testicles that may signal testicular cancer. > The scrotum is palpated carefully for nodules, masses, or inflammation. > Examination of the scrotum can reveal such disorders like: a. Hydrocele an accumulation of fluid in any sac-like cavity or duct specifically in the tunica vaginalis testis or along the spermatic cord.

    b. Inguinal Hernia a protrusion (lump) of the small intestine or fatty tissue into the groin through a weakness of tear in the abdominal wall.

    c. Testicular Torsion a surgical emergency that may result in the loss of the affected testicle if not treated promptly. A painful condition caused by the twisting of the spermatic cord, which causes loss of blood flow to the testicles.

    d. Orchitis an acute inflammatory reaction of the Testis secondary to infection.

    e. Epididymitis infection or less frequently, inflammation of the epididymis (the coiled tube on the back of the testicle).

    f. Tumor of the Testis Indication for a testicular cancer.

    > The penis is inspected and palpated for ulcerations, nodules, inflammation, discharges, and curvatures. > If the patient is uncircumcised, the foreskin should be retracted for visualization of the glans penis. > TSE is to be performed once a month. > The test is neither difficult nor time-consuming. > The most convenient time is usually after a warm bath or shower when the scrotum is more relaxed.

    Procedure 1. Use both hands to palpate the testis. The normal testicle is smooth and uniform in consistency. 2. With the index and the middle fingers under the testis and the thumb on top, roll the testis gently in a horizontal plane between the thumb and fingers. 3. Feel for any evidence of a small lump or abnormality. 4. Follow the same procedure and palpate upward along the testis. 5. Locate and palpate the epididymis, a cordlike structure on the top and back of the testicle that stores and transports sperm, they should be soft and may feel sponge-like. Also locate and palpate the spermatic cord, they are normally firm, smooth tubular structures. 6. Repeat the examination for the other testis, epididymis, and spermatic cord. It is normal to find that one testis is larger than the other. 7. If you find any evidence of a small, pea-like lump or if the testis is swollen (possibly from an infection or tumor), consult your physician.

    Sources: Books Black, Joyce and Hawks, Jane Hokanson. Medical- Surgical Nursing dor Positive Outcomes. Vol 1. 8th ed. Philippines: Saunders Elsevier. 2008. P868. Smeltzer, Suzanne C., Brenda G. Bare. Brunner and Suddarths Textbook of Medical Surgical Nursing. Vol. 2, 12th ed. New York: Lippincot Williams and Wilkins, 2004. P1507.

    Internet www.healthscout.com images.google.com

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