Procedures
Ask about pain, itching, lesions,
discharge or lumps in pens scrotum,
testes or groin.
Inspection and Palpation of Penis:
Inspect the base of the penis and the
pubic hair. Note pubic hair growth pattern
and any excoriation, erythema, or
infestation.
Inspect the skin of the shaft. Observe for
rashes, lesions, or lumps.
Palpate the shaft. Note any harder or
tender areas.
Inspect the foreskin observe for color,
location and integrity in uncircumcised
men.
Inspect the glans. Observe or size,
shape, lesions or redness.
Note the location of the urinary meatus on
the glans.
Palpate the urethral discharge. Gently
squeeze the glans between your index
finger and thumb.
Inspect the size and position of the
scrotum. Observe for swelling, lumps or
bulges.
Insect the scrotal skin. Observe for color,
integrity, lesions or rashes.
Palpation of scrotum:
Palate the scrotal area. Palpate each
testis, ND epididymis between your
thumb and first two finger.
Palpate each spermatic cord and vas
deferens from the epididymis to the
inguinal ring.
Inspection and Palpation in Inguinal
area:
Indpect for inguinal and femoral hernia for
bulges. Ask the client to turn head and
cough or to bear down as of having a
bowel movement and continue to inspect
the area.
Rationale
Complaints of pain in this area my
indicate hernia or an inflammatory
process such as epididymitis.
Absence or scarcity of pubic hair may be
seen in clients receiving chemotherapy.
The base of the penis and pubic hair
should be free from excoriation, erythema
and infestation.
Rashes, lesions, or lumps may indicate
STI or cancer. Drainage around Piercings
indicates infection .
Tenderness may indicate inflammation or
infection.
Discoloration of the foreskin may indicate
scarring or infection.
Chancres from syphilis, genital warts and
pimple like lesions from herpes are
sometimes detected in glans.
The urinary meatus is slit like and
normally found in the center of the glans.
The urinary meatus should be free of
discharge.
An enlarged scrotal sac may result from
fluid, blood, bowel or tumor.
Rashes, lesions and inflammation are
abnormal findings.
Absence of testis suggests an
undescended testicle.
The spermatic cord and vas deferens
should feel uniform on both sides.
The inguinal and femoral areas are
normally free from bulges. Bulges that
appear may signal hernia.
 Palpate for inguinal hernia and nodes.
Ask the client to shift his weight to the left
for palpation of the right and vice versa.
Palpate inguinal lymph nodes. If nodes
are palpable, note the size, consistency,
mobility or tenderness.
Palpate for femoral hernia. Ask the client
to bear down or cough. Feel the bulges,
repeat on the opposite thigh.
Inspection of anus and rectum:
Inspect the perineal area. Spread the
client’s buttocks and inspect the anal
opening and surrounding area for lumps,
ulcers, lesions, rashes, redness, fissures
and thickening of the epithelium.
Ask the Client to perform Valsava’s
maneuver by straightening or bearing
down.
Inspect the sacroccocygral area.
Palpation:
Palpate the anus. Inform the client that
you are going to perform the internal
examination at this point.
When you feel the sphincter relax, insert
finger with pad facing down.
Ask the client to tighten the external
sphincter, note the tone.
Rotate the finger to examine the muscular
anal ting. Palate for tenderness, nodules,
and hardness.
Palate the rectum by inserting your finger
futher into the rectum as far as possible.
Turn your hand clockwise. Note
tenderness , Irregularities, nodules, and
hardness.
Palpate the peritoneal cavity. Note the
tenderness or nodules.
Palpation of prostate gland:
Palpate the anterior surface of the rectum
by turning the hand fully counterclockwise
do that the pad of index faces towards the
client’s umbilicus.
Inspect the stool. Withdraw your glove
finger. Inspect any fecal matter on your
A bulge or mass may indicate a hernia.
Enlargement ad tender lymph nodes may
indicate an inflammatory process or
infection of the penis or scrotum.
Bulged or masses are not normally
palpated.
The anal opening should appear
hairless, moist and tightly closed. Lesions
may indicate STIs, cancer or
hemorrhoids.
Bulges or red mucous membrane may
indicate a rectal prolapse.
Areas is normally smooth and free from
redness and hair.
.
Sphincter tightens makes further
examination unrealistic.
Normal finding is examination finger
enters anus.
Poor tone may result of an spinal cord
injury, previous surgery trauma or a
prolapse rectum.
Tenderness may indicate hemorrhoids,
fistula or fissure. Nodule may indicate
polyps or cancer.
Hardness and irregularities may be from
scarring or cancer.
The area should be smooth and non
tender.
The prostate is normally nontender and
rubbery.
Stool is normally semi-solid, brown and
free of blood.
 gloves.

Mariel B. Ebreo
BSN-1B