Clinical Examination: Male genetalia

Question 1

Section 1. Introduction
Go over introuction to male genetalia exam

Answer 1

• Give name, ststus
• Check pt name, DOB

Question 2

Section 2. Explanation
Go over exaplanation fo the examination to the patient

Answer 2

Explain:
* “Would like to examine and await verbal consent
* Inform that chaperone is present for examination, check that fine
* Ask pt to remove undergarments (before they lay down)
* Position pt supine, abdo and genetalia exposed (maintain dignity by covering with sheeting before and after examination

Question 3

Section 3: Inpsection
Go over Inpsection of male gentalia

Answer 3

• Pubic hair distribution
  ** Scrotal skin: **rashes/nodules
  ** Scrotal contours: **swellings, scars, veins (varicocele)
  *** Urethral meatus: **presence/absence foreskin, meatus stenosis/ hypospadias. Foreskin probelms? (phimosis, paraphymosis)
  * Glans penis: infallmation (balanitis), warts, ulcers (STIs), tumours (discrete, irregular red lesion)

Question 4

Section 4: Palpation
Go over plapation of male genetalia exam

Answer 4

Before palpation, ask if any discomfort (if present, examine side with no discomfort first)
Examine each testicle seperately

• Testis: note size, consistency, texture, abnormal masses
• Epididymis: nodules/swellings/added tenderness
• Spermatic cord: varicocele

Question 5

What should you do if you detect a scrotal swelling?

Answer 5

• Swelling seperate from testis/involves testis
• Can feel above swelling?
• Swelling reducable/fluctuant/solid? Cough impulse?
• Swelling transmulinate?

Question 6

What is a normal testis size?

Answer 6

16 cc

Question 7

What are the 4 main features to note during prostatic examination?

Answer 7

Prostate:

Size
• Surface texture (rough vs smooth)
• Consistency (soft vs firm)
• Presence or absence of tenderness