Urology

Question 1

Describe the step-by-step approach to the testicular examination.

Answer 1

• Inspection
• Palpation
• Relevant special tests:
  1. Transillumination (for any swellings)
  2. Prehn’s test (when pain is present to differentiate testicular pain caused by acute epididymitis and testicular torsion.)
  3. Specific hernia tests:
• Auscultation for bowel sounds
• Reducibility test
• Direct occlusion test

Question 2

Describe the step-by-step approach to the rectal examination.

Answer 2

• Inspection
• Palpation (insertion)