- Diagnosis
- History
- Examination
- Investigations
- History
- Management
- Procedures
The Male Sexual Exam
Urological and genital examinations are performed in order to identify pathology affecting the male penis, testes and prostate. The male breast exam may also be performed to assess for disease.
The Patient
Male Breast Exam
The Groin
Testicular Examination
- Patient standing, exposed from the waist down
Prepare
Consent, undress, position
Inspection
Lower abdomen, penis and scrotum
Testicular Palpation
Between the thumb and index finger
For masses
Epididymis
Tenderness, enlargement
Spermatic Cord
Tenderness, masses
Cremasteric Reflex
Stroke inner thigh, look for retraction of testes
Digital Rectal Examination
Read More...
Horenblas S, Krogh GV. Diagnosis and clinical presentation of premalignant lesions of the penis. Scandinavian Journal of Urology and Nephrology. 2000 Jan 1;34(203):201-14.Kass EJ, Lundak B. The acute scrotum. Pediatric Clinics of North America. 1997 Oct 1;44(5):1251-66.Knight PJ, Vassy LE. The diagnosis and treatment of the acute scrotum in children and adolescents. Annals of surgery. 1984 Nov;200(5):664.Lont AP, Besnard AP, Gallee MP, Van Tinteren H, Horenblas S. A comparison of physical examination and imaging in determining the extent of primary penile carcinoma. BJU international. 2003 Apr 1;91(6):493-5.Pryor JL, Howards SS. Varicocele. The Urologic clinics of North America. 1987 Aug;14(3):499-513.Ringdahl E, Teague L. Testicular torsion. Am Fam Physician. 2006 Nov 15;74(10):1739-43.Tiemstra JD, Kapoor S. Evaluation of scrotal masses. American family physician. 2008 Nov 15;78(10).Wampler SM, Llanes M. Common scrotal and testicular problems. Primary Care: Clinics in Office Practice. 2010 Sep 30;37(3):613-26.