Male Genitourinary Assessment Flashcards
Health History Points (10)
- Urination Habits - Frequency, Urgency, Nocturia
- Dysuria
- Hesitancy and Straining - may be indicative of
prostate enlargement compressing the urethra
(when combined with needing to urinate after
going) - Urine Colour
- Past GU history - incontinence, kidney disease,
medications - Penis - pain, lesions, discharge
- Scrotum - lumps, swelling
- Sexual Activity and Contraceptive Use - concerns
with performance - STI contact - known STI contact, treatment
- STI Risk Reduction - precautions to reduce risks
Polyuria
excessive urination (6+ times per day)
Oliguria
diminished quantity of urination (<400mL/24h)
Urgency to Urinate
urge to urinate even when the bladder is not near maximum capacity
- may be indicative of infection or conditions
causing irritations, inflammation or obstructions
Nocturia
the urge to urinate is so strong that it wakes you up at night
- occurs together with frequency and urgency in urinary tract disorders
Dysuria
burning sensation with urination
True Incontinence
inability to control urination, urination occurs without warning
Urge Incontinence
involuntary urine loss from overactive detrusor muscle in the bladder
(excessive contraction of bladder muscles causes
increased urgency to void)
Stress Incontinence
involuntary loss of urine with physical strain, sneezing, or coughing
- increased intra-abdominal pressure + weakness
in pelvic floor muscles
Physical Exam Points:
- Inspection
- Palpation
Inspection and Palpation: Penis
- Penis - wrinkled, hairless, no lesions
- palpate shaft between thimb and first 2 fingers =
penis should be smooth, semi-firm, and
nontender - hair distribution should be consistent with age
- palpate shaft between thimb and first 2 fingers =
- Glans - smooth, no lesions, easy retraction of foreskin with ability to slide back to normal position
- Urethral Meatus - meatus edge should be central, pink, smooth and with no discharge
- compress glans anteroposterior between the
thumb and forefinger to palpate
- compress glans anteroposterior between the
Hypospadias
ventral location of the urethral meatus (in comparison to the normal medial positon)
Epispadias
dorsal location of the urethral meatus (in comparison to normal medial position)
Phimosis
inability to retract foreskin
Paraphimosis
inability to return the foreskin to its original position when retracted