Assessment of Male reproductive organs

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Assessment of Male reproductive organs

Assessment includes: assessment of the external genitals, presence of any hernias, prostate gland.
Organs include: Penis, Scrotum, testis, Prostate gland
Explain to the client. Wash hands and apply gloves. Provide privacy. Ask patient to void
Inquire if client has following history;
·         Usual voiding pattern
·         Bladder control, frequency, urgency, abdominal pain, any swelling
·         Family h/o nephritis, malignancy of prostate etc.
·         Assess for history of nocturia,  volume of urine, daily fluid intake
·         Assess sexual history
·         Previous surgery
Inspect skin covering genitalia for lice, rashes, excoriation or lesions
PUBIC HAIR
Inspect the distribution, amount, and characteristics of pubic hair
Triangular, often spreading up to abdomen
Scant /absence of pubic hair
Penis
Inspect the penile shaft and glans penis for lesions, nodules, swelling and inflammation
Penile skin intact, foreskin easily retractable
-Smegma b/n the glans and foreskin +
Presence of lesions, nodules,  swellings or inflammation
Inspect the urethral meatus for swelling, inflammation, and discharge
Pink and slit like appearance, urethra positioned at tip of the penis
Inflammation, variations in meatal location
Palpate the penis for tenderness, thickening and nodules.
Smooth and semi firm
Presence of tenderness, thickening or nodules.
Scrotum
Inspect the scrotum for general size and symmetry.
Size varies with temperature, scrotum generally asymmetric bilaterally (left is lower)
Testicles are grossly enlarged with uneven surface
Inguinal area
Inspect both inguinal areas  for bulges, while the client is standing
No swelling/ bulges
Swelling or bulges
Using first 2 fingers and thumb palpate each testis for size, consistency, smoothness presence of mass
Testicles are free of nodule or masses
Rubbery or smooth
Enlarged uneven in size
If swelling,  nodule are detected during the scrotal exam,
attempt to trans illuminate
the lesion. This is done by darkening the room and shining flashlight behind the scrotum through the mass.

A hernia is a protrusion of the intestine through the inguinal wall or canal.
Cancer of the prostate gland is the most common cancer in adult men and occurs primarily in men over age 50. Examination of the prostate gland is performed with the examination the rectum and anus.
Types of hernia:
·         Direct hernia
·         Indirect hernia
·         Femoral hernia
Palpating a hernia: Have the client remain at rest. Have the client hold the breath and bear down as though having a bowel movement. Bearing down makes the hernia more visible.
Document the findings
Male genital self-examination 
·         Age above 15 yrs.
·         Monthly examination
·         Inspection for mass

·         Palpate testicles

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notes.nursium.com: Assessment of Male reproductive organs
Assessment of Male reproductive organs
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