Joanna D. Sikkema, MSN, ANP-BC, F.A.H.

A Nursing 314 Health Assessment

Penis Corpora cavernosa Corpora spongiosum Glans Corona Urethra Foreskin

Rugae Cremaster muscle Testis Epididymis Vas deferens Spermatic cord Ejaculatory duct

Inguinal area Inguinal ligament Inguinal canal

Internal ring External ring

Femoral canal

Frequency, urgency, and nocturia

Dysuria
Hesitancy and straining Urine color Genitourinary history

HX. of STDs

Sexual History
Erectile dysfunction

Penispain, lesion, and/or discharge

Scrotumself-care behaviors; lump

Sexual activity and contraceptive use

Erectile dysfunction / sexual dysfunction

Sexually transmitted disease contact

Ask questions that seem appropriate for boys age but be aware that norms vary widely. Ask direct, matter-of-fact questions. Avoid sounding judgmental. Start with a permission statement. Often boys your age experience Try the ubiquity approach, When did you rather than Do you Sometimes all you do is open the door to later conversation

 Any difficulty urinating?... Do you need to get up at night A man in his 70s, 80s, or 90s

PenisInspect and palpate Skin Glans Urethral meatus Pubic hair Urethral discharge Shaft

ScrotumInspect and palpate Skin Testis Epididymis Spermatic cord Any mass

Note characteristics Transillumination

Check for herniaInspect and palpate

Person standing and straining down Palpation technique

Inguinal lymph nodes Teach testicular self-examination

Herpes progenitalis Syphilitic chancre Condylomata acuminata (genital warts) Carcinoma Urethritis (urethral discharge and dysuria)

Phimosis Paraphimosis Hypospadias Epispadias Peyronies disease Priapism Urethral stricture

Absent testis; cryptorchidism Small testis Testicular torsion Epididymitis Spermatic cord varicocele Spermatocele

Early testicular tumor Diffuse tumor Hydrocele Scrotal hernia Orchitis Scrotal edema