Male Genitals and Inguinal Area

Anatomy
Consist of:
♀ testis

♀ series of ducts

♀ accessory glands

♀ supporting structures

Ω Ducts
♀ epididymis
♀ vas deferens
♀ urethra
Ω Accessory glands
♀ seminal vesicles
♀ prostate gland
♀ bulbourethral glands
♀ Supporting structures
♀ Scrotum
♀ Penis
 Stages of Male Pubic Hair and External
Development (12-16 Years)
 Stage 1
 Stage 2

 Stage 3

 Stage 4

 Stage 5

Assessment
♀ Equipment
‫ סּ‬examination gloves

Implementation
1. Explain the procedure to the client.
2. Wash hands, apply gloves, and observe
appropriate infection control procedure.
3. Provide for client privacy.
4. Inquires client’s history:
♀ usual voiding patterns and any changes
♀ bladder control
 ♀ urinary incontinence, frequency, urgency,
abdominal pain
♀ any symptoms of STD
♀ any swelling
♀ family history of nephritis
♀ malignancy of the prostate
♀ malignancy of the kidney
Ω Pubic Hair
5. Inspect the distribution, amount, and characteristic
of the pubic hair.

Ω Penis
6. Inspect the penile shaft and glans penis for lesions,
nodules, swellings, and inflammation.
7. Inspect the urethral meatus for swelling,
inflammation and discharge.
8. Palpate the penis for tenderness, thickening and
nodules.

Ω Scrotum
9. Inspect the scrotum for appearance, general size
and symmetry.
10. Palpate the scrotum to assess status of the
underlying testes, epididymis, and spermatic cord.
Ω Inguinal area
11. Inspect bothers inguinal areas for bulges while the
client is standing.
12. Palpate hernias.
13. Document findings.

Lifespan Considerations
♀ Infants
‫ סּ‬The foreskin of the infant is normally tight the
first 2 or 3 months of life is not readily retractable.

♀ Children
‫ סּ‬The scrotum is usually palpated determine
whether testes are descended.
‫ סּ‬Ensure that you have parent or guardian’s
approval to perform the examination and tell the
child what you are going to do.
‫ סּ‬In young boys, the cremasteric reflex can cause
the testes to ascend into the inguinal canal.

♀ Elders
 The penis and testes decreases in size with
age
 Testosterone is produced in smaller
amounts.
  More time and direct physical stimulation
are required for an older man to achieve an erection.
 Seminal fluid is reduced in amount and
viscosity
 Urinary frequency, nocturia, drbbling, and
problems with beginning and ending the stream