Talking to doctors about testicular cancer

Coping with a disease such as testicular cancer can be difficult and distressing. For people who experience difficulties communicating with their health care professionals, their problems may be compounded (also see ‘Delays in seeing a specialist’).

Many men we talked to spoke highly of the NHS, praising their doctors and other health care professionals for the way in which information had been given. One man said that his consultant answered all his questions, put him at ease, and gave him his undivided attention during the consultation.

Recalls that the consultant explained everything very well.

Age at interview 34

Gender Male

Age at diagnosis 34

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Another young man said that when he discovered that the cancer had spread to other parts of his body he felt a huge sense of shock. He was only fifteen at the time. The consultant explained in detail how the treatment worked, which made him feel much better. However, on one occasion he felt communication was poor because a doctor spoke to his mother instead of directly to him.

Recalls that the consultant explained everything and made him feel better.

Age at interview 22

Gender Male

Age at diagnosis 15

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Recalls that one doctor spoke to his parents instead of to him, and that nurses were better at…

Age at interview 22

Gender Male

Age at diagnosis 15

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One man said that he was given plenty of information at the clinic, and that he and his wife were very glad to receive a tape recording of the consultation. However, not all consultants seem to encourage this practice; one man took a tape recorder to the clinic, and said the consultant ‘ignored’ his request to record the consultation.

Recalls that he and his wife found the tape recording of the consultation and the information…

Age at interview 39

Gender Male

Age at diagnosis 36

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Sometimes communication broke down. For example, one man remembered that a young doctor (or student) examined his testicle in the outpatient clinic and then simply ‘fled the room’, without saying a word. Some men said that health care professionals tended to avoid the word ‘cancer’, and either used the word ‘tumour’, or avoided giving a diagnosis. Other men saw a different doctor every time they attended a clinic, and complained about the lack of continuity.

Recalls the time when he was examined at the hospital but was not given any information.

Age at interview 46

Gender Male

Age at diagnosis 44

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Before surgery some men we interviewed said they were not given enough warning that the surgeon planned to remove the entire testicle. One man was convinced that he had been told that he was in hospital so that the lump could be removed. He was not expecting an orchidectomy (removal of the entire testicle). This lack of communication left him and his family feeling angry and distressed. Other patients we listened to had a similar experience.

Recalls that he expected only to have the lump removed and was shocked to discover he was having…

Age at interview 21

Gender Male

Age at diagnosis 21

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One man described a lack of communication in the ward after surgery, which made him feel very frightened. The consultant’s manner, his body language and the delay that occurred before he was reassured that treatment was available, made him assume the worst possible scenario.

Recalls lack of communication immediately after the operation.

Age at interview 33

Gender Male

Age at diagnosis 26

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Another man recalled the times the consultant discussed his case outside his room with junior doctors without involving him.

Recalls that the consultant used to discuss his case outside his room without him.

Age at interview 32

Gender Male

Age at diagnosis 27

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One man suggested that men might feel less embarrassed if doctors used less technical terminology when talking to patients. Some men recalled that the nurses offered better explanations than the doctors, using lay terms instead of technical ones.

Suggests that doctors should use less technical terminology when talking to patients.

Age at interview 28

Gender Male

Age at diagnosis 27

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Sometimes health care professionals treating the men we spoke to made wrong assumptions about the men’s wishes to remain fertile or store sperm. Communication broke down because these issues weren’t properly discussed (see ‘Fertility’).