 Assemble equipment (Sterile glove, Examination gown and

drape, Penlight)
 Consider the following (Adequate lighting, comfortable
room temperature)
 Introduce self and verify client’s identity. Explain the
procedure, its purpose and how the client can cooperate.
Instruct the client to empty his bladder
 Perform hand hygiene. Don gloves and observe other
appropriate infection control procedures.
 Have the client remove all clothing including underwear
and provide an examination gown.
 Explain to the client that he will be asked to stand (if able)
for most of the examination.

 Inspect the base of the penis and pubic hair. Note pubic hair
growth pattern and distribution (sexual maturity rating) and
any excoriation, erythema, or infestation at the base of the
penis and within the pubic hair. Note for the shape of the
penis (Penile skin is free of lesions and inflammation, Penile
shaft skin is loose and wrinkled, Foreskin retracts easily, No
discharge from foreskin, pubic hair growth is in Scrotum
ample, penis reaching nearly to the bottom of the scrotum)

 Inspect the skin of the shaft. Observe for rushes, lesions or

lumps( no rashes, lesions or lumps)

 Palpate the shaft. Note for any hardened or tender areas.

( Soft (flaccid penis), no tenderness/ hardened areas,
Pulsations are present on dorsal side of the penis)

 Inspect the foreskin. - Observe for color, location, and

integrity of the foreskin in uncircumcised men (Dorsal vein
apparent. Exposed glans erythematous and dry. No lesions
or swelling.
 Inspect the glans. Observe for size, shape, and lesions and
redness. Note the location of the urinary meatus on the
glans. ( meatus is 0.35 inches in size, Slit like opening,
located on tip of penis. No lesions or swelling)
 Palpate the urethral meatus and observe for any discharge.
Note for the location of the urethral meatus (Urethral
meatus free of discharge and drainage, On ventral surface
and only millimeters from tip of glans.)

 SCROTUM: INSPECTION, PALPATION, AUSCULTATION AND

TRANSILLUMINATION. Inspect for the size, shape and
position. Observe for swelling, lump or bulges (Asymmetry.
Thickness varying with temperature, age, emotional state.
Testicles are firm, ovoid, smooth, and equal in size.
Spermatic cord is smooth and round)

 Inspect the scrotal skin. Observe for color, integrity, and

lesions or rashes. Observe for inflammation, swelling and
nodules. (Scrotal skin is rugated, thin, and pigmented. No
lesions, nodules, swelling, or inflammation are present in
the scrotal area. Left scrotal sac is lower than the right.)

 Palpate the scrotal contents and each spermatic cord and

vas deferens from the epididymis to the inguinal ring. Note
size, shape, consistency, nodules and tenderness (Spermatic
cord is smooth and round. No lesions, nodules, swelling, or
inflammation present)

 Auscultate if a scrotal mass is noted and listen for the

presence of bowel sounds. (no Presence of bowel sounds)

 Trans illuminate the scrotal contents:

a. Darken the room
b. Shine a light from the back of the scrotum through the
mass
c. Look for a red glow (no signs of fluid-filled scrotum)
 INGUINAL AREA: INSPECTION AND PALPATION. Inspect for
inguinal and femoral hernia for bulges. (Presence of oval
external ring. The inguinal area is free of palpable masses.
No bulges or swelling are present in the inguinal area

 Palpate the testicles and note for size, shape, consistency,

and presence of masses. (Smooth and rubbery. Sensitive to
gentle compression. Irregular texture. Irregular size;
asymmetry in size, less than 1 cm. )

 Palpate the epididymis; note for the consistency and

presence of tenderness or masses. Palpate the spermatic
cord from the epididymis to the external ring and note for
consistency and presence of tenderness or masses.
(Spermatic cord is smooth and round. Epididymis is Smooth
and discrete, with larger part cephalad. Vas Deferens is
smooth and discrete. No lesions, nodules, swelling, or
inflammation present)
 Palpate inguinal lymph nodes. If nodes are palpable, note
size, consistency, mobility or tenderness. Ask patient to lie
supine, with knee slightly flexed on side of palpitation.
(Nodes unable to be palpated.)
 Palpate the femoral canal. No swelling or tenderness
Document findings in the client’s record.