Examination Of The Male Genitalia

Name: Mann Homeopathy Clinic Rajkot
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Examination Of The Male Genitalia

The Examination Of The Male Genitalia:

EXAMINATION OF THE MALE GENITALIA:

Before beginning a detailed Examination Of The Male Genitalia, it is essential and most helpful to take a history of the patient regarding sexual function, sexual preferences, sexual responses and pain, swelling or lesions in the penis or scrotum, if any.
The examination is done with the patient standing or supine. When examining for varicoceles and hernia, the patient should be in the standing position. It is advisable to wear gloves throughout the examination.

INSPECTION

INSPECTION IN EXAMINATION OF THE MALE GENITALIA:

EXAMINATION OF PENIS:

SKIN IN MALE GENITALIA

The skin of the penis should examine for the presence of moist excrescences (i.e. venereal warts), vesicles and/or shallow, painful ulcers with red base (in other words; genital herpes), dark red, painless, indurated ulcers (i.e. syphilitic chancre), non-tender hard plaques (i.e. Peyronie’s disease), displacement of urethral meatus to inferior surface (i.e. hypospadias) or non-tender, indurated, painless nodules/ulcers (in other words; carcinoma).

PREPUCE IN MALE GENITALIA

If the foreskin is present, it should retract during examination for detection of syphilitic chancres or carcinoma.

GLANS IN MALE GENITALIA

It should examine for any signs of inflammation, scars, nodules or ulcers.
Moreover; The skin around the base should examine for any excoriations which may suggest lice or scabies.
Besides this, Compressing the glans between the thumb and index finger opens the urethral meatus to examine for discharge, if any.

All in all, A white or clear discharge is suggestive of non-gonococcal urethritis, whereas an excessive yellow discharge seen in cases of gonococcal urethritis.

EXAMINATION OF SCROTUM & ITS CONTENTS:

The skin of the scrotum carefully examine, both anteriorly and posteriorly for rashes, epidermoid cysts and dermal cancer. The contours examine for lumps, veins or swellings. Common causes of swellings include hydrocele and indirect inguinal hernia. Swellings are tender and painful in cases of strangulated inguinal hernia, acute orchitis and torsion of spermatic cord.

EXAMINATION OF HERNIA:

The femoral and inguinal areas need to examine for presence of any bulges. The patient ask to either cough or strain down. If a bulge appears on straining, it is likely to be a hernia.

PALPATION

PALPATION IN EXAMINATION OF THE MALE GENITALIA:

PENIS:

During male genitalia examination, palpate along the entire shaft of the penis for signs of tenderness and induration. A urethral stricture or carcinoma of penis can present as induration of the ventral surface of the penis. In detail, The addition of tenderness may hint towards a periurethral inflammation coming on after urethral stricture.

SCROTUM & ITS CONTENTS:

Each testis and epididymis is palpated as to the size, shape and consistency, and tenderness, if any, also note.
The spermatic cord palpate between the thumb and fingers from epididymis to superficial inguinal ring and any swellings or nodules note. Numerous, tortuous veins may palpable (“bag of worms” sensation) indicating a varicocele; a thicken or bead vas deferens is suggestive of chronic infection, whereas a cystic swelling of the spermatic cord suggests a hydrocele of the cord.
Transillumination of the scrotum, done using the beam of a strong flashlight, after darkening the examination cubicle / room, is useful in clinically diagnosing abnormal swellings present in the scrotum. A red glow, from transmission of light through the swelling is seen in serous swellings like hydrocele, whereas in cases of tumors or hernia, transillumination is absent.

HERNIA:

INGUINAL

The loose scrotal skin invaginate with the index finger also the spermatic cord follow upto the opening of the external inguinal ring, just above also lateral to the pubic tubercle. In detail; If possible, the finger pass into the inguinal canal. If not, it kept fixed on the opening of the external inguinal ring also the patient now ask to cough or strain down. An inguinal hernia can felt by the finger using these maneuvers. Besides this; If the hernia touches the fingertip, it is indirect, also if it pushes the sides of the finger forward, it is a direct type of hernia.

FEMORAL

The femoral canal in the anterior thigh palpate also the patient ask to strain down or cough. An impulse feel to the palpating fingers in case a femoral hernia is present.

SCROTAL

A scrotal hernia may suspect if the scrotal mass is large. In such cases the patient ask to lie down. If the mass returns to the abdomen on lying down, it is definitely a hernia. On the other hand, If the mass does not reduce then ‘getting above the mass’ is attempted; if one cannot get above the mass, then the findings are suggestive of a scrotal hernia. If sustained pressure apply to reduce the hernia back into the abdomen, and the patient complains of tenderness, nausea or vomiting, hernial strangulation suspect.

AUSCULTATION

AUSCULTATION IN EXAMINATION OF THE MALE GENITALIA:

Examination of Scrotal Hernia:

The stethoscope use in male genital examination only when a scrotal hernia suspect, to listen for bowel sounds in the scrotum. Positive bowel sounds in the scrotal area are a definitive pointer towards herniation of intestines in the scrotum, although it is not necessary that bowel sounds may hear in all cases of scrotal hernia.