Delays in seeing a specialist

The survival rate for testicular cancer is exceptionally good. Most men can now be completely cured, even if the cancer has spread beyond the testicle. However, some types of tumour spread more rapidly than others, so it is important that men seek help as quickly as possible. If the tumour is Stage 1, completely contained within the testicle, treatment is easier and less toxic than if the tumour has spread to other parts of the body.

Sometimes delay is caused by a man’s reluctance to visit his GP. It is known that there may be various ‘triggers’, such as pain, that encourage people to seek help, or reasons that prevent a rapid consultation, such as embarrassment, or denial.

Sometimes symptoms were unclear, and some men we interviewed delayed seeking help until their wives, girlfriends, or parents encouraged them to seek help (see ‘Signs and symptoms‘).

One man explained that he delayed seeking help for two years because he did not feel any pain, he felt fit and healthy, because it was hard to take time off work, and because it was an embarrassing problem.

Explains that he delayed seeking help because of lack of time and embarrassment.

Age at interview 36

Gender Male

Age at diagnosis 33

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Another man said that he delayed seeking help for 18 months, because he did not want to face the fact that he was ill. He said that men do not like to make a fuss, or to be seen as weak. Another man explained that he delayed seeking help because he did not wish to be a hypochondriac.

Explains that he delayed seeking help because he did not want to face the problem.

Age at interview 46

Gender Male

Age at diagnosis 44

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Explains that he delayed seeking help because he did not want to be a hypochondriac.

Age at interview 52

Gender Male

Age at diagnosis 48

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One young man we spoke to delayed seeking help because he only had one testicle and wrongly feared that if the other testicle were to be removed he would no longer be able to have sex. He did not realise that hormone replacement therapy could restore his levels of testosterone (see ‘Hormone treatment’).

Explains that he delayed seeking help because he feared that treatment would mean the end of sex.

Age at interview 26

Gender Male

Age at diagnosis 24

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Past experience of illness can also influence the decision to seek help. One man remembered that when his mother had been seriously ill with cancer he had been falsely assured that she would get better. He was afraid of cancer, particular metastases (tumour spread), and didn’t realise that, even if testicular cancer has spread, it is usually curable. He couldn’t face the diagnosis and so delayed seeking help.

Explains that he delayed seeking help because of fear of cancer.

Age at interview 39

Gender Male

Age at diagnosis 36

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One patient delayed seeking help for six months. When he was eventually examined by the GP he found the examination painful, so he didn’t keep his appointment with the urologist, which delayed everything further.

Explains that he did not keep his appointment with the urologist because he found the Gps…

Age at interview 55

Gender Male

Age at diagnosis 52

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One man we interviewed said that he delayed consulting a doctor because, at his University Health Centre, those waiting to see a doctor could hear all that was being said inside the doctor’s office.

Delay in reaching an urologist may also happen because of misdiagnosis by a GP. A number of men said that their GPs hadn’t referred them rapidly to an urologist because the diagnosis was difficult to make (also see ‘Signs and symptoms’). Some men we spoke to said they were given false reassurance by their GPs, even when a lump could be felt. The men felt they should trust their GPs and were reluctant to question their doctors’ judgements.

Arthur Frank explains that there was delay in starting treatment because doctors could not…

Age at interview 55

Gender Male

Age at diagnosis 40

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Explains that delay occurred because his GP falsely reassured him that the lump was nothing to…

Age at interview 28

Gender Male

Age at diagnosis 27

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Administrative delays also occurred, which added to the problem of patient delay and misdiagnosis.

Explains that his appointment with the urologist was delayed because of administrative problems.

Age at interview 54

Gender Male

Age at diagnosis 52

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Signs and symptoms of testicular cancer

Testicular cancer is now highly curable, especially if diagnosed in good time. Some men we interviewed looked for lumps, having been encouraged to examine themselves...

Investigations for testicular cancer

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