Thursday, August 25, 2011

Physical Exam: Male Reproductive System

I. History: Sexual history, sexually transmitted disease, contraception, surgery, associated urinary problems
  • External genitalia
  • Hair distribution: varies; hair extends from base of penis over symphysis pubis; coarse and curly
  • Penis shaft, corona, prepuce, glans
  • Urethral meatus is slit like opening positioned on ventral surface, millimeters from tip of glans; opening should be glistening and pink
  • Scrotum:

    1. skin more darkly pigmented; more wrinkled; usually loose
    2. symmetry - left testicle is lower than right
    3. size - changes with temperature

  • Inguinal canal: no finding - no bulging

II. Palpation
  •  Penis:

    1. foreskin should retract easily
    2. small amount of thick white secretion between glans and foreskin is normal
    3. testicle - ovoid; ranges from 2-4 cm in diameter, smooth and rubbery; nontender

  • Inguinal canal: Normal finding - inguinal lymph nodes not palpable

III. Geriatric Alterations
  • Increased bogginess of prostrate
  • Testes softer

IV. Rectum and Anus
  • Inspection of perianal areas

    1. skin - smooth and uninterrupted
    2. anal tissues - normally moist and hairless

  • Digital palpation:

    1. Anal sphincter - note tone
    2. Rectal walls - smooth and even
    3. Prostrate gland = Palpate through anterior rectal wall; Small walnut-sized, heart shaped structure; Ranges from 2.5 to 4 cm in diameter; Normal findings - firm, protrudes <1 cm into rectum

  • Alterations:

    1. fissures
    2. fistulas
    3. polyps
    4. pain
    5. hemorrhoids


1 comment:

  1. A large advantage of having this process performed is the prevention of larger health concerns. This prevention tool is usually aimed at being able to spot larger issues from occurring using blood work and a basic review of the body. This is often all that is require for preventing future issues.

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