Course 3
Problems in Males
Phimosis
Gynecomastia
Hypospadia
Peyronie's Disease
Priapism
Varicocele
Hydrocele
Spermatocele
Testicular Torsion
Undescended Testes
Self-examination
Testicular Self-examination
男性性生理問題

睾丸自查

對於所有男子來說,規律地檢查睾丸和探查癌症的可能跡象是非常有用的。尤其對於15- 35歲的青年男子尤其有用,他們應該至少每月檢查一次。一般而言,睾丸癌罕見,但是,在青年男子的發病率確實比老年男子的要高。然而,如果及早察覺,就可能會完全治癒。先天隱睾症的男子罹患睾丸癌的風險高於正常的男子。甚至隱睾症已經通過外科手術矯治後,患睾丸癌的風險仍高於正常人。儘管如此,如果有癌症發生的話,已經做過睾丸降入陰囊手術,則有利於探查和治療睾丸癌。


如何檢查睾丸
睾丸自我觸檢是為了發現任何睾丸上或其毗鄰處可能發生的可疑腫塊。但是,必須把腫塊與附睾加以區別。附睾位於每一側睾丸後上方,並且也能夠通過陰囊皮膚觸摸到。睾丸自我觸檢本身應該遵循以下步驟:

  1. 首先最好洗洗淋浴或坐浴,因為熱量會鬆弛陰囊並由此使檢查變得更容易。
  2. 照著鏡子檢查會有助於探查陰囊上任何可能的腫大。
  3. 分別檢查每一側睾丸,最實際的方法是用雙手檢查。食指和中指放在睾丸之下,而拇指放在睾丸之上。然後,當拇指觸摸睾丸的正常光滑表面的時候,盡可能地來回搓動睾丸。
  4. 拇指也能夠容易地確定附睾的位置。附睾是臥躺於每一側睾丸後上方的精子收集管道。我們能夠很容易通過觸摸清晰地探摸到它的輪廓,一定不要與異常的贅生物相混淆。可疑腫塊或贅生物通常位於睾丸的側面或前方,也許較小(豌豆大小),也許非常之大。
  5. 如果有任何異常的發現,則應該立即去看醫生。

睾丸自檢:1 .睾丸表面應該是有彈性和光滑的。2.應該清晰地探摸到附睾(精子收集管道)的輪廓。
Self-examination: 1 The surface of the testicle should be elastic and smooth.  2 The epididymis (sperm collection tube) should be clearly delineated.

Physical Problems in Males

Testicular Self-examination

It is very useful for all males to examine their testicles regularly and to look for possible signs of cancer. Especially young men between the ages of 15 and 35 should do this at least once a month. Generally speaking, testicular cancer is rare, but it does occur more often in young men than in older men. However, if detected early, it may be completely cured. Males born with an undescended testicle are at a higher risk than the others. This remains true even after the condition has been corrected by surgery. Still, having moved the testicle down into the scrotum makes it easier to detect and treat testicular cancer if it develops.

How to examine the testicles
The object of a testicular self-examination is to find any possibly developing suspicious lumps inside the scrotum on or near the testicles. However, such a lump must be distinguished from the epidydemis, which sits on top of each testicle and can also be felt through the scrotal skin.The examination itself should follow these steps:

  1. It is best to take a hot shower or bath first, because heat will relax the scrotum and thus make the examination easier.
  2. Standing in front of a mirror will help in looking for any possible swelling on the scrotum.
  3. Each testicle is examined separately, most practically with both hands. The index and middle finger are placed under the testicle and the thumb on top. It is then possible to roll the testicle gently back and forth while the thumb feels its normally smooth surface.
  4. The thumb can also easily locate the epidydemis, i.e. the sperm-collection tube that sits on top of each testicle. Its clearly delineated shape can easily be felt, and it must not be confused with an abnormal growth. Suspicious lumps or growths usually sit on the side or in front of a testicle. They may be small (the size of a pea) or noticeably large.
  5. If any abnormality is found, a doctor should be consulted immediately.

[Course 3] [Description] [How to use it] [Introduction] [Problems in Females] [Problems in Males] [Phimosis] [Gynecomastia] [Hypospadia] [Peyronie's Disease] [Priapism] [Varicocele] [Hydrocele] [Spermatocele] [Testicular Torsion] [Undescended Testes] [Self-examination] [Intersexuality] [Additional Reading] [Examination]