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Health Assessment > Male Genitourinary Assessment > Flashcards

Male Genitourinary Assessment Flashcards

1
Q

What is the significance of the inguinal canal and why is it important to assess this area in males?

A

The inguinal canal is where the testes descend in utero. It is important to assess this area in males to ensure that their testes actually descended.

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2
Q

What does the external genitalia normally look like?

A

A male should have scrotum and a penis

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3
Q

What genital development needs to be checked in newborns?

A

The inguinal canal needs to be assessed to ensure that the testes have descended

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4
Q

What is a Tanner’s developmental table for ?

A

The table is used to assess the sequence of puberty

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5
Q

How many stages are there in the Tanner table?

A

5

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6
Q

What is the first stage of the Tanner table?

A

Prepubertal

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7
Q

What is the second stage of the Tanner table?

A

Enlargement of scrotum and testes; scrotum skin reddens and changes in texture

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8
Q

What is the third stage of the Tanner table?

A

Enlargement of the penis (first the length); further growth of the testes

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9
Q

What is the fourth stage of the Tanner table?

A

Increased size of the penis with growth in breadth and development of glans; testes and scrotum larger; scrotum skin becomes darker

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10
Q

What is the fifth stage of the Tanner table?

A

Adult genitalia

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11
Q

How does the genitourinary system change in older males?

A
  • Sperm production reduces at age 40, but they are still fertile till 80s-90s
  • Penile size decreases, scrotal sac hangs lower, rugae decreases, testicle size decreases
  • Slower erection, maintained longer, faster flaccidity after ejaculation
  • Longer recovery period (12-24 hours opposed to 2 mins)
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12
Q

What is circumcision?

A

The removal of a males penile foreskin

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13
Q

Is circumcision recommended?

A

According to the Canadian Pediatric Society circumcision should not be performed

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14
Q

What advice would you give to a new mother about retracting the foreskin on her son for hygiene purposes?

A
  • Clean foreskin with soap and water, do not forcibly retract foreskin
  • When it retracts easily, the area underneath should be cleaned occasionally
  • 3-4 years old should be taught to clean under foreskin
  • Should be a part of a daily routine by adolescence
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15
Q

What is HPV?

A
  • Human papilloma virus
  • STD
  • Common in sexually active males who do participate in unprotected sex
  • Causes genital warts and is associated with cancer of the penis, anus, head and neck
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16
Q

What kinds of subjective symptoms may present when taking a genitourinary history?

A
  • Frequency and urgency to urinate
  • Dysuria (not able to urinate)
  • Hesitancy, staining, dribbling (consider prostate)
  • Past GU history
  • Pain, lesions, discharge
  • Scrotal self-care, lumps
  • Sexual activity and contraceptive use
  • STI contact
17
Q

What is epispadius?

A

A rare type of malformation of the penis in which the urethra ends in an opening on the upper aspect (the dorsum) of the penis

18
Q

What is hyopsadius?

A

An opening of the urethra is on the underside of the penis

19
Q

What are normal palpation findings in male genitalia?

A
  • Glans is smooth
  • Foreskin retracts easily
  • Shaft is smooth, and non-tender
  • Testes: oval, firm, smooth, equal, feely movable, slightly tender
  • Epididymis is softer, discrete, smooth and non-tender
  • If a mass is felt, it can not normally be illuminated
  • Cord should feel smooth and non-tender
20
Q

What is a hernia?

A

A hernia occurs when an organ or fatty tissue squeezes through a weak spot in the muscle wall.

21
Q

Where might hernias develop?

A

A hernia may develop in the inguinal area, causing there to be a mass on the groin

22
Q

What advice would you give to young males about testicular self-exam?

A
  • Self examine in a warm shower with soapy hands.
  • Feel for any unusual lumps
  • Painful testicles
  • Heaviness or dragging in lower abdomen
  • Dull ache in a abdomen/groin
  • Do this at least once a month
  • Common in males 15-49, it is rare and 100% treatable
23
Q

What should a nurse assess when caring for a patient with an in-dwelling catheter?

A
  • Bag anchored
  • Tubing below bladder, no kinks
  • Colour and quantity, sufficient (50mls/hr min)
  • Meatus pink and smooth with no discharge

Health Assessment (10 decks)

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