Male Genitals And Inguinal Area-word

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 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 1.

♀ 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