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    Notes Assessing The Male Genitalia and Rectum

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    Elvira Gumi
    The document provides guidance on assessing the male genitalia and rectum as part of a physical assessment. It discusses inspecting and palpating the penis, scrotum, inguinal area, anus, and rectum. Normal findings for each area are outlined as well as deviations from normal that may indicate conditions like hernias, testicular cancer, or prostate cancer. The assessment should be done with discretion and another person may be required depending on the client's comfort level and the nurse's gender.

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    Notes Assessing The Male Genitalia and Rectum

    Uploaded by

    Elvira Gumi
    89 views11 pages
    The document provides guidance on assessing the male genitalia and rectum as part of a physical assessment. It discusses inspecting and palpating the penis, scrotum, inguinal area, anus, and rectum. Normal findings for each area are outlined as well as deviations from normal that may indicate conditions like hernias, testicular cancer, or prostate cancer. The assessment should be done with discretion and another person may be required depending on the client's comfort level and the nurse's gender.

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    Notes Assessing the Male Genitalia and Rectum

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    The document provides guidance on assessing the male genitalia and rectum as part of a physical assessment. It discusses inspecting and palpating the penis, scrotum, inguinal area, anus, and rectum. Normal findings for each area are outlined as well as deviations from normal that may indicate conditions like hernias, testicular cancer, or prostate cancer. The assessment should be done with discretion and another person may be required depending on the client's comfort level and the nurse's gender.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    89 views11 pages

    Notes Assessing The Male Genitalia and Rectum

    Uploaded by

    Elvira Gumi
    The document provides guidance on assessing the male genitalia and rectum as part of a physical assessment. It discusses inspecting and palpating the penis, scrotum, inguinal area, anus, and rectum. Normal findings for each area are outlined as well as deviations from normal that may indicate conditions like hernias, testicular cancer, or prostate cancer. The assessment should be done with discretion and another person may be required depending on the client's comfort level and the nurse's gender.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 11

    Assessing

    the Male
    Genitalia
    and
    Rectum
    Physical Assessment
    Let’s review
    the
    structures of
    the male
    reproductive
    system.
    • Includesassessment of the external
    genitals and prostate gland, and for the
    presence of hernias
    • Some agencies may require the
    presence of another person during the
    examination so that there is no
    question of unprofessional behavior
    • If
    the female nurse does not feel
    comfortable about assessing the male
    genitals or if the client is reluctant to be
    examined by a woman, the nurse should
    refer this part of the examination to a
    male practitioner.

    What
    assessment
    techniques are
    used to examine
    the male genitals?

    ✓Inspection

    ✓Palpation

    Inspecting the
    pubic hair and
    the external
    genitalia
    Findings when assessing the penis
    between the glans and foreskin

    Normal Findings Deviations from Normal


    • Presenceof lesions, nodules,
    • Penile skin intact
    swellings, or inflammation
    • Appears slightly wrinkled and varies
    in color as widely as other body skin • Foreskin not retractable

    • Largeamount, discolored, or
    • Foreskin
    easily retractable from the
    glans penis malodorous substance

    • Small amount of thick white smegma

    Findings when assessing


    the urethral meatus
    • Inflammation; discharge

    Normal Findings • Variationin meatal locations (e.g.


    hypospadias – the urethral meatus is
    • Pink and slitlike appearance on the underside of the penile shaft;
    epispadias – the urethral meatus is on
    • Positioned at the tip of the of the
    the upper side of the penile shaft)
    penis
    Deviations from Normal

    Findings when assessing


    the scrotum
    warm)

    Normal Findings • Scrotum appears asymmetric (left


    testis is usually lower than the right
    • Scrotalskin is darker in color than testis)
    that of the rest of the body and is
    loose
    Deviations from Normal
    • Discolorations;
    any tightening of skin
    • Size
    varies with temperature changes
    (may indicate edema or mass)
    (the dartos muscles contract when the
    area is cold and relax when the area is • Marked asymmetry in size
    Testicular
    cancer
    - Muchrarer than
    prostate cancer and
    occurs primarily in
    young men ages 15 to 35
    - Mostcommonly found on
    the anterior and lateral
    surfaces of the testes
    - Testicular
    self
    examination should be
    conducted monthly

    Findings when assessing


    the inguinal area
    Deviations from Normal
    Normal Findings • Swelling
    or bulge (possible inguinal or
    femoral hernia)
    • No swelling or bulges

    All male
    clients
    should be
    screened for the
    presence of
    inguinal or
    femoral hernias.

    Hernia
    - Protrusion of the
    intestine through
    the inguinal wall or
    canal

    Findings when assessing


    the anus and surrounding
    tissue
    • Presence of fissures (cracks), ulcers,
    Normal Findings excoriations, inflammations,
    abscesses, protruding hemorrhoids
    • Intact perianal skin; usually slightly (dilated veins seen as reddened
    more pigmented than the skin of the protrusions of the skin), lumps or
    buttocks tumors, fistula openings, or rectal
    prolapse (varying degrees of
    • Anal skin is normally more protrusion of the rectal mucous
    pigmented, coarser, and moister than membrane through the anus)
    perianal skin and is usually hairless
    Deviations from Normal
    Examination of
    the prostate gland
    is performed
    with the
    examination of
    the rectum and
    anus.

    Cancer of
    the prostate
    gland
    - Mostcommon cancer
    in adult men and
    occurs primarily in
    men over age 50.

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