Testicular Self-examination Research Articles

Knowledge on the male reproductive tract and testicular cancer among adolescents in Austria.

Testicular cancer is the most frequent malignant tumour among young adults. Therefore, regular self-examination for early detection is recommended by all guidelines. The fact that the knowledge of young adults living in Austria on this important topic is unknown, prompted the current investigation. To evaluate the knowledge on anatomy and function of the male reproductive tract and of testicular cancer in particular a German questionnaire recently developed by Anheuser etal. (Urologe 2019;58:1331-1337) was applied. This 4-page questionnaire contains mainly multiple-choice questions. This questionnaire was distributed in three different schools to male and female students in the 11th and 12th school level. A total of 337 students (mean age: 17.3 years; male: n=183; female: n=154) completed the questionnaire. In a simple pictogramm, 63% were able to correctly identify the prostate, 87% the testis and 64% the epididymis. Half of the students (49.3%) could describe the function of the testis. The question regarding the age peak of testicular cancer was correctly answered by 81%, yet 18% believed that testicular cancer is caused by the sexual contact. The purpose of the testicular self-examination was correctly answered by only 54.9% with a higher rate for women (67.5%vs. 44.3%, p=0.001). With a theoretical maximal score of 15, the students reached a mean overall of 10.4 with no sex difference (p>0.05). Differences were noted for the school type: the highest score was present in the Gymnasium (11.2), followed by the Realgymnasium (10.8) and the HTL (9.8; p=0.001). This survey demonstrates relevant knowledge deficits of young adults regarding the male reproductive tract, testicular cancer and self-examination.

Mevsimlik Tarım İşçisi Erkeklerin Testis Kanserine Yönelik Sağlık İnançlarının ve Testis Kanseri Erken Tanı Davranışlarının İncelenmesi

Background: One of the most effective methods of early detection of testicular cancer is applying testicular self examination. This study was conducted to determine the testicular cancer health beliefs and testicular cancer early diagnosis behaviors of young adult male seasonal agricultural workers. Materials and Methods: The study was of descriptive type and its sample consisted of 300 individu-als. Data were collected using Champion's Health Belief Model Scale in Testicular Cancer Screening and descriptive information form. In the analysis of the data, t-test and chi-square test were per-formed in independent groups. Results: It was determined that 6.3% of the individuals did at least one testicular self-examination during their lifetime and the total mean score of the health belief model scale was 15.39 ± 4.62. Conclusions: It is seen that the rate of individuals doing testicular self-examination and their health beliefs are not at the preferred level. For this reason, awareness studies should be carried out on testicular cancer and its early diagnosis. Key Words: Testicular cancer, Testicular self-examination, Seasonal agricultural worker

Testicular self-examination for early detection of testicular cancer.

Testicular cancer (TCa) commonly presents as a painless scrotal mass. It has been suggested that testicular self-examination (TSE) can help in early detection and thus potentially improve treatment outcomes and prognosis. While TSE is more well established in guideline recommendations for patients with a known history of TCa, its role in healthy young men is less established and controversial. In this paper, we review contemporary data to provide an updated recommendation.

Knowledge Attitude and Practice of Testicular Self Examination among Male Undergraduate Students in Ekiti State University

About half of men never or seldom check their testicles which has led many to late detection of testicular cancer, howbeit the dramatic increase in cancer-related mortality and morbidity is avoidable and curable if detected in its earliest stages. This study assessed the knowledge attitude and practice of testicular self-examination among male undergraduate students in Ekiti State University. A descriptive cross-sectional survey research design was used for the study. The study population consists of Male Undergraduate Students in department of Computer Science, Ekiti State University, Ado-Ekiti, Ekiti state. The sample size was determined with the use of Taro Yamane’s method which yielded sample size of 290. Proportionate stratified random sampling technique was used to select the sample size. A semi-structured questionnaire administered via online goggle form was used to collect data. The collected data was coded and analyzed using SPSS version 25. The two – null hypothesis in the study was tested using Chi-square, at 0.05 level of significance. The research found out that 59.0 percent of respondents had an unfavourable view of TSE, whereas 41.0 percent had a favourable view. Even though the respondents had a high level of information, that didn't seem to have any effect on their attitudes, which suggests that people aren't willing to adopt the desirable steps that may lead to the early identification of testicular cancer. The findings revealed that there is no significant (p = 0.67) association between level of knowledge of TSE and the practice, also no significant (p < 0.001) association between attitude of TSE and the practice. It was recommended among others that TSE has to be a standard part of medical checkups. Health education on TSE should be provided to all young men for any reason when they visit a healthcare facility, along with a patient pamphlet that details the suggested process, instruments, and frequency of practise.

Intervene to Improve: Awareness of Testicular Self-Examination and Testicular Cancer Among Male Patients at a Tertiary Care Hospital in Lahore, Pakistan.

Background and objective Testicular canceris the commonest of all types of cancermales are affected with. Testicular cancer, when diagnosed early, has one of the best prognoses. However, in Pakistan, early detection is hindered by religious and sociocultural norms, lack of education, and awareness deficit. Testicular self-examination (TSE) can significantly facilitate early detection of the condition and decrease associated mortality rate. This study aimed to acquire the frame of mind regarding testicular cancer (TC) and testicular self-examination (TSE) among the male outdoor patients of Lahore General Hospital, Lahore. Materials and methods After ethical considerations, elaborated literature review and consequent pilot study were done to develop a bilingual questionnaire. Following patient consent, answers to a set of questions were noted down by the authors. A 90-second bilingual, motivational video was displayed and an educational pamphlet on the same topic was also handed over. Afterward, another survey was conducted to grasp the comprehension, satisfaction, and willingness to spread the message. Results About 92% of the subjects had not heard of or performed TSE and 58.3% mentioned lack of education as the reason for not knowing the method. Eighty-two percent patients had never heard of TC. Post-education, 100% patients claimed that their knowledge of the subject improved and 97% were ready to teach other male relatives. Conclusion The results indicate that the population's lack of awareness regarding testicular self-examination and testicular cancer is alarming. Most subjects did not know the age group, risk factors, presentation, and early prevention of testicular cancer.

Investigation of knowledge, attitude and behaviors of university students on testicular cancer: results from two different cities

Objectives: Testicular tumors are the most common malign tumor in men aged 15-35 years. Early diagnosis and treatment is crucial in testicular cancer because if detected at an early stage, testicular cancer can be completely cured. Because of this reason increase in awareness and regular testicular self-examination (TSE) is recommended in the early diagnosis of testicular cancer. This study aimed to investigate the knowledge, attitude and behaviors of students about testicular cancer and testicular self-examination. Methods: This descriptive and cross-sectional study was conducted in Health care vocational schools of 2 different universities between November 2018 and January 2019. Data were obtained by a self-applied questionnaire comprised of four sections. Results: One hundred and six (37.7%) participants could not answer any question correctly. While 65.8% (n = 185) of the participants stated that they had heard of testicular cancer, the rate of those who heard about TSE was 17.8% (n = 50). Only 5.7% (n = 16) of the participants reported performing TSE. Binary logistic regression analysis was shown that the following factors increase men’s intention to perform TSE: Students’ academic unit [OR = 4.36, 95% CI: 1.37-13.88], age [OR = 0.2; 95% CI: 0.008-0.72], city [OR = 0.64; 95% CI: 1.15-1.49], those who have heard of TC before [OR = 0.71, 95% CI: 0.016-0.917], received information about TC [OR = 0.001, 95% CI: 0.015-0.309], and those who have heard of TSE before [OR = 0.01; 95% CI: 0.001-0.079]. Conclusions: One-third of the university students had never heard of testicular cancer, ‎and TSE was not sufficiently practiced. There is a lack of information on this issue. It was thought that organizing training programs on the subject would raise awareness and save lives by early diagnosis.

Effect of educational guidelines on knowledge and practice regarding testicular self-examination among male students

Background: Testicular self-examination (TSE) is the performance of a physical self-assessment of the testicles for changes in mass or shape in the scrotum that could be indicative of disease. Aim: To evaluate the effect of educational guidelines on knowledge and practice regarding testicular self-examination among male students. Design: A quasi-experimental research design was utilized in the present study. Sample: A convenience sample of (100) male students was included in this study. Setting: The study was conducted at the Technical Institute of Nursing at South Valley University. Tools: Three tools were utilized to collect data. First tool: a structured interviewing questionnaire used to assess demographic data. Second tool: to assess male students' knowledge sheet regarding testicular self-examination. Third tool: A simplified testicular self-examination checklist to assess male students' practice. Results: There was a highly statistically significant improvement in the total level of male students' knowledge and practice regarding testicular self-examination after the implementation of educational guidelines compared to before. Conclusion: Educational guidelines about testicular self-examination enriched male students' knowledge and practice more than before. Recommendations: A continuous male student educational session about testicular self-examination is recommended to upgrade the knowledge and skills of male students.

Perceptions of testicular cancer and self-examination in the general population of Saudi Arabia.

Although testicular cancer (TC) is the most common malignancy in males between the ages of 18 and 50 years, little effort has been made to increase public awareness about TC and testicular self-examinations (TSEs). Therefore, the aim of this study was to assess the level of awareness of TC and TSEs in the Saudi population. This study was conducted using a structured questionnaire distributed online through social media platforms. The questionnaire consisted of 11 questions related to TC and TSE. All relevant data were moved into an Excel sheet, and data analyses were carried out using SPSS. A total of 849 responses were received. The proportion of respondents who knew any information about TC was 26.5%, with media or the Internet being the most common sources of information (16.3%). In addition, 5.5% of respondents knew how to perform a TSE, although only 4% actually performed TSEs. The patient age group was an independent significant predictor of this knowledge, with a P = 0.031. These findings suggest that there is a low level of public awareness and knowledge of TC and TSE in Saudi Arabia, and further efforts should be focused on raising public awareness.

Urologic practice patterns of pediatricians: a survey from a large multisite pediatric care center.

To evaluate the practice patterns of pediatricians as they relate to common urologic concerns. An anonymous 15-question survey was created and distributed to all pediatricians at our institution, a large multisite care center. This study was deemed exempt by the institutional review board. 55 of the 122 (45%) providers queried responded. 93% of the participants were female, and 7.3% were male. 55% recommended testicular self-examination at adolescence, while 39% did not recommend at any age. 78% stated that they were "Fairly confident" in the exam for undescended testicle (UTD). One-third referred patients with UDT to a subspecialist upon recognition at birth, 13% at 3 months of age, and 28% at 6 months of age. 10% reported obtaining a VCUG after the first febrile urinary tract infection (UTI), 26% after the second, and 36% only if there were abnormal findings on renal ultrasound. 28% of providers reported that they refer to pediatric urology after the initial febrile UTI. 19% provided antibiotics for UTI symptoms alone with negative urinalysis and urine culture. Despite established guidelines, practice patterns varied among pediatricians. Pediatricians typically followed the AAP's guidelines regarding VCUGs (62%), with only a few adhering to urologic recommendations (9%). Despite the consistency between AAP and AUA guidelines regarding the age at which to refer a patient for cryptorchidism, about 70% of practitioners referred patients too early or too late. Harmonized, consolidated guidelines between pediatricians and pediatric urologists would improve patient care and efficiency of the healthcare system.

Impact of an educational intervention on the knowledge of testicular self-examination and attitudes toward it

IntroductionThere is evidence that the percentage of adolescents that practice testicular self-examination is low. ObjectiveTo assess the short-term and long-term (6 months) impact in male adolescents of an educational intervention on the knowledge of testicular self-examination and attitude toward it. MethodsWe conducted a quasi-experimental pre-test post-test study in male adolescents. A questionnaire was validated to assess knowledge on testicular self-examination and attitudes towards it (awareness, intentions, and behaviour). The educational intervention was group-based and consisted in an instructional talk with the aid of diagrams and brochures. The questionnaire was administered before and after the intervention. A follow-up was scheduled 6 months later, and the talk was delivered again, with administration of the questionnaire before and after. ResultsThe study included 139 adolescents with a median age of 14 years. We found an improvement in knowledge (18.3% vs 78.9%; P = 0.02) and attitude (5.6% vs 53.5%; P = 0.02) after the initial intervention. At the 6-month follow-up (n=98), there was no change in knowledge (87.0% vs 93.0%; P = 0.671), but attitude improved after the second intervention (58.0% vs 78.0%; P = 0.009). ConclusionAn educational intervention on testicular self-examination improved the proportion of adolescents with an adequate attitude (5.6% vs 53.5%) and adequate knowledge (18.3% vs 78.9%). The repetition of the intervention at 6 months increased the proportion of adolescents with an adequate attitude (53.5% vs 86.4%).

Knowledge, awareness and attitudes of adults towards the practice of testicular self-examination in the Kingdom of Saudi Arabia: A cross sectional study

Knowledge, awareness and attitudes of adults towards the practice of testicular self-examination in the Kingdom of Saudi Arabia: A cross sectional study

Impacto de una maniobra educativa sobre el conocimiento y actitud de la autoexploración testicular

IntroductionThere is evidence that the percentage of adolescents that practice testicular self-examination is low. ObjectiveTo assess the short-term and long-term (6 months) impact in male adolescents of an educational intervention on the knowledge of testicular self-examination and attitude toward it. MethodsWe conducted a quasi-experimental pre-test post-test study in male adolescents. A questionnaire was validated to assess knowledge on testicular self-examination and attitudes towards it (awareness, intentions, and behaviour). The educational intervention was group-based and consisted in an instructional talk with the aid of diagrams and brochures. The questionnaire was administered before and after the intervention. A follow-up was scheduled 6 months later, and the talk was delivered again, with administration of the questionnaire before and after. ResultsThe study included 139 adolescents with a median age of 14 years. We found an improvement in knowledge (18.3% vs. 78.9%; P=.02) and attitude (5.6% vs. 53.5%; P=.02) after the initial intervention. At the 6-month follow-up (n=98), there was no change in knowledge (87.0% vs. 93.0%; P=.671), but attitude improved after the second intervention (58.0% vs. 78.0%; P=.009). ConclusionAn educational intervention on testicular self-examination improved the proportion of adolescents with an adequate attitude (5.6% vs. 53.5%) and adequate knowledge (18.3% vs. 78.9%). The repetition of the intervention at 6 months increased the proportion of adolescents with an adequate attitude (53.5% vs. 86.4%).

Awareness of testicular cancer among adult Polish men and their tendency for prophylactic self-examination: conclusions from Movember 2020 event

BackgroundTesticular cancer (TC), due to its non-specific symptoms and occurrence in young men, is particularly dangerous. A critical point for early diagnosis is awareness of the disease and the willingness to perform a testicular self-examination (TSE). The main aim of the study was to assess the knowledge of 771 adult men about testicular cancer. Additionally, the sources of information on TC and TSE were analyzed and the influence of demographic factors on the willingness to join preventative programs was examined.Materials and methodsThe study was carried out during the Movember2020 campaign, where a testicular ultrasound was performed on participants. They were asked to complete a questionnaire with 26 questions to assess their knowledge.ResultsThe results obtained in the study indicate a low level of knowledge (average 3.5 points out of 18) about TC. Living in a large city (OR = 1.467; p = 0.03), as well as an earlier conversation about TC (OR = 1.639; p = 0.002), increased the awareness about the disease. Additionally it showed that many participants do not perform TSE at all (52.4%) and that only few perform TSE frequently (18.4%). Relationship status (OR = 2.832; p < 0.001) and previous conversations about TC (OR = 1.546; p = 0.02) was reported to be the main contributing factors in males deciding to have TSE.ConclusionsOur research indicates large educational neglect in terms of knowledge about TC and reluctance in performing TSE. It is worth carrying out preventative actions periodically on an increasing scale, not only for the screening of testicular cancer, but also to expand knowledge on this subject.

A Call to Action to Review the USPSTF's Recommendation for Testicular Self-Examination.

We urge the United States Preventive Services Task Force (USPSTF) to call for a formal review of the evidence regarding testicular self-examination (TSE). Twelve years have since passed since the evidence was last formally analyzed where normally re-reviews occur in 5-year cycles. If they would decide to move forward with this action, we ask for the USPSTF to review their methods for establishing recommendations to optimize their rating system operationalization process. Finally, emerging evidence demonstrates a net positive effect of TSE. This stands in contrast to the assertions of TSE’s supposed harm that is prevalent in the literature as well as the rationale behind the USPSTF’s “D” rating of TSE.

Testicular Cancer - The Great Masquerader

Purpose: Testicular cancer is rare with increasing incidence worldwide. Testicular cancer can mimic many other diseases leading to delay in diagnosis. Delays in diagnosis and management of testicular cancer are associated with advanced stage, increased morbidity and poor prognosis. This case report aims to highlight a case of testicular cancer who presented with metastasis due to delays in testicular cancer diagnosis and ways to improve diagnosis.&#x0D; Methodology: The study focused on a 17-year-old boy presented with severe intermittent abdominal pain for a month. He was reviewed by the general physicians, internists, haematologists, radiologists, general surgeons and urologists. He was given several diagnoses before he was correctly diagnosed as advanced right testicular cancer. It took a total of 31 days in a tertiary institution to reach this diagnosis.&#x0D; Findings: The boy had a radical right inguinal orchidectomy. He had 4 courses of bleomycin, etoposide and cisplatin chemotherapy. He made remarkable recovery after treatment. A follow up was recommended closely with abdominal CT, and serum tumour markers (reverted to normal after treatment).&#x0D; Recommendations: Prompt diagnosis of testicular cancer can reduce treatment delays. Physician education, adequate patient evaluation, investigations, and a high index of suspicion would aid diagnosis. Health awareness campaign, testicular self-examination, and good health insurance schemes would reduce patient-related factors which result in delays. Reduction in diagnostic delay is expected to improve outcome and reduce cost of management of the disease.

426 Conservative Management of Bilateral Undescended Testes in an Adult

Abstract Bilateral undescended testes are an uncommon finding in children and even a rarer phenomenon in adults. Undescent of the testes (UDT) has important consequences on fertility, testicular injury, hormonal concerns, testicular torsion, and testicular cancer risk, as well as psychological health. We present the case of a then 21-year-old native caucasian who was referred to the urology clinic with an ‘empty scrotum’ in 2009. On examination, he had secondary sexual characteristics with expected pubertal transformation. Testes were palpated as small smooth ovoid masses in each groin with the inability to be reduced into the scrotum. The basic hormonal screen was within the normal range. Ultrasound of the scrotum and groins identified testes in the left and right inguinal canal, respectively. Semen analysis showed azoospermia. Treatment wise no pharmacological therapies were warranted in view of normal hormonal function. The patient opted for conservative options for fertility in view of likely low success rates in atrophic testes including sperm extraction techniques After detailed discussions around the dilemmas of Bilateral UDT, a decision for a tailored surveillance regimen including ultrasound and self-examination was taken. Psychological counselling was declined by the patient as felt unwarranted. He continues to remain well in himself to date with his wife and adopted children. Greater awareness of testicular self-examination amongst young men should be advocated. With established neonatal screening availability, UDT in adults is seldom heard of but it is a primary risk factor for testicular cancer. Proper counselling advice and prosthesis should be offered proactively.

Awareness and Performance of Testicular Self-Examinations: An Analysis of Social and Cultural Barriers to Cancer Screenings in a US Orthodox Jewish Community.

Thisstudy assessed barriers to testicular self-examination (TSE) performance in a population of US Modern Orthodox Jewish undergraduate students. Participants answered questionnaires that measured their TSE performance and their attitudes toward TSEs. Out of 541 participants, 301 (55.6%) had heard of TSEs, 177 (32.7%) had ever performed a TSE, and 21 (3.9%) performed TSEs once per month in the past year. Significant positive associations of TSE awareness and practice included self-efficacy and engagement with medical professionals vis-à-vis testicular health. Shame and adherence to certain religious beliefs negatively correlated with awareness and performance of TSEs. The results demonstrate medical professionals' integralrole in educating young individuals about TSEs.

PERCEPTIONS OF MALE NURSING STUDENTS TOWARDS TESTICULAR SELF-EXAMINATION IN PUNJAB PROVINCE, PAKISTAN

Background: Testicular Self Examination (TSE) is a process that examines the consistency and appearance of testis. It is a quick, painless process that takes just three minutes to perform for detecting testicular cancer (TC) in its early stages. Testicular cancer is a significant public health problem, since its incidence rates have steadily climbed globally in, making it the most frequent cancer in men. Objectives: Assessing the knowledge, attitude and practices about Testicular Self-Examination and Testicular Cancer in Male Nursing Students is the objective of this study. Material and Method: A cross sectional study using voluntary sampling technique was used, including four nursing institutes: Lahore School of Nursing, Shalamar Nursing College, Multan College of Nursing and Shahida Islam Nursing College. Results: The knowledge of the participants was poor, the attitude of the participants was negative and unfavorable and the practices of the participants were unsatisfactory regarding Testicular Self Examination and Testicular Cancer among sampled BSN male undergraduate nursing institutes students. Conclusions: The lack of awareness about Testicular Self Examination and Testicular Cancer, as well as the ability to inspect the testicles, were the main reasons for not completing Testicular Self Examination. Improving the dissemination of information will assist to reduce the number of patients who present with advanced stages of Testicular Cancer and the costs associated with their treatment.

The awareness and practice of testicular self-examination among male undergraduates in Nigeria: a descriptive cross-sectional study

BackgroundTesticular cancer is a relatively rare form of cancer but curable. In Nigeria, late presentation hinders treatment due to limited resources for diagnosis and treatment. Testicular self-examination enables men to identify the presence of lumps and any abnormality in their testes. This can facilitate early detection and presentation at hospitals. The purpose of this study was to examine the awareness and practice of testicular self-examination by students at a College of Health Sciences in a Nigerian university.MethodsA cross-sectional study was conducted. The target population were second-sixth year students in the College of Health Sciences. The respondents were conveniently selected to complete a 38-item, self-administered questionnaire. The paper-based questionnaire was distributed to 280 respondents in classrooms and dormitories. Descriptive statistics (such as percentages and frequencies) were used to summarize the frequency of categorical data.ResultsOf the 277 respondents, only 53.4% (n = 148) have heard about testicular self-examination. The mean age was 20.6 (± 4.51) years. Out of the 148 respondents, only 11.6% practiced it regularly. For majority of the respondents, the barriers mitigating the practice of testicular self-examination are the fear of discovering a lump and lack of knowledge.ConclusionIt is necessary for the importance of testicular self-examination to be emphasized in the training of nurses, medical doctors, and other healthcare professionals and its practice should be encouraged among health science students. This will equip these students with the knowledge and skills for their health and to educate their patients and the society on the relevance of testicular self-examination.

Will men tie their violet ribbons? Testicular cancer and testicular self-examination

&lt;p&gt;The American Association for Cancer Research has declared the month of April as the global awareness month of Testicular Cancer (TC).&amp;nbsp;Worldwide, TC is the most frequently reported malignancy in males aged 20 &amp;ndash; 40 years. Testicular Cancer and Testicular Self Examination awareness should be started at home. This clinical poster is an easy approach to making the general public attending the outpatient department, understand the very basics of TC &amp;amp; TSE.&lt;/p&gt;