Male Genitalia exam

Question 1

Introduction

Answer 1

Introduction
Wash hands
Explanation
Gain consent

Question 2

Explanation

Answer 2

Chaperone
Gain verbal consent
Remove trousers and underwear before lying down

Question 3

Position

Answer 3

Lie down
Abdomen and genitalia exposed
Cover with sheet before and after
Wash hands and put on gloves

Question 4

Inspection

Answer 4

Note pubic hair distribution
Scrotal skin for rashes or nodules
Presence or absence of foreskin, phimosis, paraphimosis
Urethral meatus for stenosis, hypospadia
Glans for irritation, warts, ulcers, tumours

Question 5

Palpation

Answer 5

Any discomfort
Each testicle, note size, consistency and texture
Examine epididymis for nodules, swellings and added tenderness
Examine spermatic cord, assess for varicocele
Examine hernial orifices

Question 6

If scrotal swelling is detected, what tests would you do?

Answer 6

Separate from the testis or involving the testis?
Can you get above the swelling
Cough impulse?
Transillumination
Is swelling fluctuant or solid?