Guidelines for preventive activities in general practice


The Red Book
9.7 Testicular cancer
☰ Table of contents


Age range chart

0-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-79 >80

Not recommended as a preventive activity


There is insufficient evidence to routinely screen for testicular cancer using clinical or self-examination.105,106 Those performing testicular self-examination are not more likely to detect early-stage tumours or have better survival than those who do not (C).

Table 9.7.1. Testicular cancer: Identifying risk

Who is at risk?

What should be done?

How often?

High risk

Those with a history of cryptorchidism (relative risk [RR] = 3.5–17 above average), orchidopexy, testicular atrophy, or previous testicular cancer (RR = 25–28) 106–108

Testicular examination (Practice Point)

Opportunistically (Practice Point)

RR, relative risk


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  1. Elford RW. Screening for testicular cancer. Canadian Task Force on the Periodic Health Examination Canadian Guide to Clinical Preventive Health Care. Ottawa: Health Canada, 1994; p. 892–98. 
  2. US Preventive Services Task Force. Screening for testicular cancer: Recommendation statement. Rockville, MD: Agency for Healthcare Research and Quality, 2011. 
  3. Dieckmann KP, Pichlmeier U. Clinical epidemiology of testicular germ cell tumors. World J Urol 2004;22(1):2–14. 
  4. National Cancer Institute. Testicular cancer screening. Bethesda, Maryland: US National Institutes of Health, 2012. [Accessed 15 October 2015].