15. Male Genitourinary
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Obtain health history:
Assess urinary system:
Abnormal findings:
•
Frequency, urgency and
nocturia
•
Dysuria
•
Hesitancy and straining
•
Urine color
•
Past genitourinary history
•
Penis: pain, lesion, discharge
•
Scrotum: self-care behaviours,
lump
•
Sexual activity and
contraceptive use
•
STI contact
•
Skin and abdomen
•
Kidneys and bladder
•
Bruits in rental arteries
Assess reproductive system:
•
Penis size, skin color and
abnormalities
•
Urethral meatus
•
Scrotum, testicles and pubic
hair
•
Inguinal and femoral areas for
bulges or hernias
•
Penis shaft
•
Testicles for size, shape and
response to pressure
•
Epididymitis and both
spermatic cords
•
Direct and indirect inguinal
and femoral hernias
•
Prostate gland by performing
a rectal examination
Urinary – hematuria, urinary
frequency, urinary urgency, urinary
hesitancy and nocturia
Reproductive – paraphimosis,
hypospadias, hydrocele, hernia,
erectile dysfunction, priapism and
hematospermia