Male Genitals And Inguinal Area

Male Genitals and Inguinal Area

Anatomy Consist of: ♀ testis 

♀ series of ducts ♀ accessory glands ♀ supporting structures

Anatomy ♀ Ducts ♀ epididymis ♀ vas deferens ♀ urethra ♀ Accessory glands ♀ seminal vesicles ♀ prostate gland ♀ bulbourethral glands

Anatomy ♀ Supporting structures ♀ Scrotum ♀ Penis

Stages of Male Pubic Hair and External Development (12-16 Years) 

Stage 1 Stage 2

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Stage 3

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Stage 4

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Stage 5

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Definitions

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Hernia – is a protrusion of the intestine through the inguinal wall or canal Indirect Hernia – Is a loop of bowel that enters the internal inguinal ring Direct inguinal Hernia – enters the inguinal canal directly through a weakness in the abdominal wall just behind the external inguinal ring. Femoral Hernia – is lower and more lateral than and inguinal area and may look like an enlarged lymph node

Hernia Direct Inguinal Hernia  occurs in the inguinal area, near the inguinal ring  occur less frequently than indirect inguinal hernia  are more common in men  usually occur after the age of 40

Hernia Indirect Inguinal Hernia  located in the groin, a result of a weakness in the inguinal ring  the most common type of hernia  can be present at birth  may occur later in life

Hernia  Femoral Hernia

Definitions  Cancer of the prostate gland – is the most

common cancer in adult men; ages over 50

 Testicular cancer – most commonly found

on the anterior and lateral surfaces of the testes; primarily in young men ages 15-35

Assessment ♀ Equipment ‫ סּ‬examination gloves Implementation 5. Explain the procedure to the client. 6. Wash hands, apply gloves, and observe appropriate infection control procedure. 7. Provide for client privacy.

Assessment 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

Assessment ..continuation of history

♀ family history of nephritis ♀ malignancy of the prostate ♀ malignancy of the kidney

Assessment 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.

Assessment 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.

Assessment 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.

Lifespan Considerations ‫ 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.

Lifespan Considerations ♀ 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

Testicular Self Examination