UNIT 5A.17.1: MALE GENETALIA Assessment

Syphilitic Chancre

Small,‬‭ silvery-white papule ‬‭that ‬‭develops‬ red,‬‭ oval‬‭ulceration;‬ sign of primary syphilis

Herpes Progenitalis

Clusters‬‭ of‬‭ pimple-like,‬ clear vesicles that‬ erupt‬ and ‬‭become‬ ulcers‬

Genital Warts

Single‬ or‬‭ multiple,‬‭ moist,‬ fleshy papule; STI‬ caused ‬‭by ‬‭human‬ papillomavirus‬

Phimosis

Inability ‬‭to‬ ‭retract ‬‭the‬‭ skin‬ (foreskin‬‭ or‬‭ prepuce)‬ covering‬‭ the ‬‭head‬ (glans)‬‭ of ‬‭the ‬‭penis.‬

May ‬‭appear‬ as ‬‭a ‬‭tight‬‭ ring ‬‭or‬ “rubber ‬‭band” of‬ foreskin‬‭ around ‬‭the ‬‭tip‬ of‬‭ the‬‭ penis,‬‭ preventing‬ full‬‭ retraction.

Paraphimosis

Foreskin ‬‭that ‬‭is ‬‭left ‬‭in‬ retracted position;‬

‭Common‬‭ urologic‬ emergency ‬‭that ‬‭occurs‬ in‬‭ uncircumcised ‬‭males‬ when ‬‭the ‬‭foreskin‬ becomes ‬‭trapped‬ behind ‬‭the‬‭ corona ‬‭of‬ ‭the glans penis‬

Hypospadias

Birth‬ defect ‬‭in boys ‬‭in‬‭ which ‭the ‬‭opening ‬‭of ‬‭the‬ urethra‬‭ is‬‭ not ‬‭located‬‭ at‬ the tip of the penis;‬ urethral‬‭ meatus‬‭is‬ located ‬‭underneath‬‭ the‬ glans (ventral side)

Epispadias

Rare‬ congenital‬‭ (present‬‭ at‬ birth) ‬‭anomaly‬‭ involving‬ the‬‭ development‬‭ of ‬‭the‬ urethra;‬

Urethral‬‭ meatus‬‭ is‬ located ‬‭on ‬‭top ‬‭of‬‭ glans‬ (dorsal‬ side)‬

Hydrocele

Type of swelling‬ in the scrotum, the pouch of‬ skin that holds the testicles‬

Scrotal Hernia

Large hernias‬ can extend into the scrotum‬ causing pain and swelling‬

Testicular Tumor

Small, firm,‬ non tender nodule on testis‬

Cryptorchidism

The‬ absence of at least one‬ testicle from the scrotum

Epididymitis

Inflammation‬ of the coiled tube, called the‬ epididymis, at the back of the‬ testicle‬

Orchitis

Inflammation of one or both testicles

Small Testes

If less than 3.5 cm long: indicates atrophy

If less than 2 cm long: indicates Klinefelter’s syndrome

Torsion of Spermatic Cord

The spermatic cord is coiled

Varicocele

Enlargement‬ of the veins that transport‬ oxygen-depleted blood away‬ from the testicle‬

Spermatocele

Abnormal‬ sac (cyst) that develops in the‬ epididymis

Cancer of Prostate

Hard ‬‭area‬‭ on ‬‭prostate ‬‭or‬‭ hard‬ fixed, irregular nodules on prostate‬

Benign Prostatic Hypertrophy

Prostate is enlarged, smooth, firm, and slightly elastic

Median sulcus may not be palpable

Common in men older than 50 years

Pediculosis Pubis/Crabs

Lice or nit (eggs) infestation at the base of the penis or pubic hair

Hypospadias

Displacement of the urinary meatus to the ventral surface of the penis

Epispadias

Displacement of the urinary meatus to the dorsal surface of the penis

Gonorrhea

What does a yellow urethral discharge indicate?

Urethritis

What does a clear or white urethral discharge indicate?

Prehn’s Sign

If the client has epididymitis, passive elevation of the testes may relieve the scrotal pain

Indirect Inguinal Hernia

• Bowel herniates through the internal inguinal ring and remains in the inguinal canal or travels down into the scrotum

• Most common type of hernia

• May occur in adults but more frequent in children

Direct Inguinal Hernia

• Bowel herniates from behind and through the external inguinal ring, rarely travels down into the scrotum

• Less common

• Occurs mostly in adult men older than 40

Femoral Hernia

• Bowel herniates through the femoral ring and canal; never travels into the scrotum and the inguinal canal is empty

• Least common type of hernia

• Mostly in women

Acute Prostatitis

• Prostate is swollen, tender, firm, and warm to touch

• Caused by bacterial infection

Benign Prostatic Hypertrophy

• Prostate is enlarged, smooth, firm, and slightly elastic

• Median sulcus may not be palpable

• Common in men older than 50 years

Prostate Cancer

• Hard area on the prostate or hard, fixed, irregular nodules on the prostate

• Median sulcus may not be palpable