Examination of male genitalia

Question 1

What are you looking at on general inspection?

Answer 1

Pubic, facial, axillary abdominal hair

Gynaecomastia

Question 2

How should they be positioned?

Answer 2

Lying flat

If scrotal swellings are suspected, standing up as well

Question 3

How do you examine the penis?

Answer 3

Gently retract foreskin
Inspect glans for abnormalities
Inspect ventral and dorsal surfaces of the shaft

Question 4

How do you examine the external urethral meatus?

Answer 4

Gently use thumb and forefinger to open the meatus
If patient complains of discharge elicit sign by milking along the shaft/get them to do it
Take swabs if necessary
Replace foreskin

Question 5

How do you examine the scrotum and testes?

Answer 5

Inspect, pull up and inspect underneath
Using thumb and first two fingers and gently palpate
Palpate the epididymis on posterolateral surface
Note size and consistency of testes
Roll vas deferens between finger and thumb

Question 6

What are the steps in this exam?

Answer 6

1) General inspection
2) Examine penis
3) Examine urethral meatus
4) Examine scrotum and testes