The fatalities are actually quite low, and have declined considerably in the last 16 years. A key reason is that testis tumours are quite sensitive to radiation and chemotherapy, and therefore lead to a successful treatment and possible cure. Dr. Martin Buckspan, head of urology at Mount Sinai Hospital in Toronto, says that there is generally very little public awareness about the disease, and that men just don't know that they should be doing self-examinations. He believes that if they were aware, they would do it. But he admits that men tend to be a little uncomfortable about the subject.
Men are more reticent to go to the doctor than women are.
They're going to macho it out for a while. Dr. Buckspan even tell a story about one unnamed patient that did not go to the doctor until six months after he first discovered a lump. It's best to do it after a warm bath or shower. Standing in front of a mirror, check for swelling on the scrotal skin using both hands, check each testicle. Put your index and middle fingers under the testicle, and your thumbs on top.