Testicular Self-Examination

Testicular Self-Examination

The Urology Group of Princeton is pleased to share this informative article, courtesy of the Urology Care Foundation, to provide instruction for testicular self-examination.

What is Testicular Self-Examination?

Testicular self-examination is when you check your testicles for any abnormalities. It is  important to know what feels normal and to be able to notice any changes. Changes are not always cancer. If it is cancer and you catch it early, you have the best chance for a cure.

When To Perform Self-Exam

  • Boys can start these self-exams during their teens.
  • Do a self-exam each month – it only takes a few minutes.
  • Start right after a hot bath or shower, when the scrotal skin is most relaxed and the testes can be felt easily.

How to Perform Self-Exam

  • Do the exam while standing
  • Look for swelling in the scrotum
  • Gently feel the scrotal sac to find a testicle
  • Check each testicle one at a time by firmly and gently rolling it between the thumb and fingers of both hands to feel the whole surface.


  • It is normal for one testicle to be slightly larger than the other
  • It is normal to feel a cord-like structure (called the epididymis) on the top and back of each testicle

Check with your health care provider:

  • If you find a small, hard lump (pea size).
  • If there is swelling, pain or soreness.
  • If you see or feel any other changes.

For more information or to address any urology-related concerns, please call the office (609.924.6487) to schedule a consultation and exam.

Photo courtesy of Jose Francisco Morales