Skills # 10: THE MALE GENITALIA

NAME: ________________________________________ DATE: _________________

ASSESSING THE MALE GENITOURINARY SYSTEM

DEFINITION:
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PURPOSE:
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EQUIPMENT:
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CONSIDERATIONS BEFORE, DURING and AFTER THE PROCEDURE:

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THINGS TO DOCUMENT AFTER THE PROCEDURE:

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PERFORMANCE INDICATORS:
C –The step was correctly performed
X- The step was not performed
N- The execution of the step needs improvement
R- The step was correctly performed after remediation

PROCEDURE RATIONALE C X N R
1.Introduce self and verify the client’s
To gain cooperation and lessen the anxiety
identity. Explain the procedure to the
of the client
client. Provide privacy.
2.Ask the client to empty her bladder before
To provide client’s comfort.
the examination begins
3.Perform hand hygiene, apply gloves and
To minimize contamination
observe appropriate infection control.

BREAST AND LYMPHATIC VESSELS | NSG 102.2

 Don on clean gloves
5.Ask the client to remove his underwear.
Place him in a supine position with legs
slightly apart, and drape.
6.
Do perineal care.
7.
Pubic Hair
Inspect the distribution, amount, and
characteristics of pubic hair.
8.
Penis
Inspect the penile shaft and glans penis and
note the skin condition, presence or
absence of foreskin, position of the
urethral meatus, and any lesions, swelling,
inflammation or discharges.
9.Scrotum
Inspect the scrotum for skin condition,
size, position, and symmetry.
 Inspect all skin surfaces by
spreading the rugated surface skin
and lifting the scrotum as needed
to observe posterior surfaces.
To provide good visualization of the male
genital.
Normal findings:
 Triangular distribution, often
spreading up the abdomen
Abnormal findings:
 Scant amount or absence of hair
Normal findings:
 Penile skin intact appears slightly
wrinkled and varies in color as
widely as other body skin.
 Foreskin easily retractable from the
glans penis
 Small amount of thick white
smegma between the glans and
foreskin
 Pink and slit like appearance
 Positioned at the tip of the penis
Abnormal findings:
 Presence of lesions, nodules,
swellings, or inflammation
 Foreskin not retractable
 Large amount, discolored, or
malodorous substance
 Inflammation; discharge
 Variation in meatal locations (e.g.,
hypospadias, on the underside of
the penile shaft, and epispadias, on
the upper side of the penile shaft)
Normal findings:
 Scrotal skin is darker in color than
that of the rest of the body and is
loose. Size varies with temperature
changes (the dartos muscles
contract when the area is cold and
relax when the area is warm)
 Scrotum appears asymmetric (left
testis is usually lower than right
testis)
Abnormal findings:
 Discolorations; any tightening of
skin (may
 indicate edema or mass)
BREAST AND LYMPHATIC VESSELS | NSG 102.2
  Marked asymmetry in size
1 Inguinal Area
0 
. Inspect both inguinal areas for bulges Normal findings:
while the client is standing, if possible
No swelling or bulges
 First, have the client remain at 
rest.
Abnormal findings:
 Next, have the client hold his
Swelling or bulge (possible
breath and strain or bear down as
inguinal or femoral hernia)
though having a bowel movement.
Bearing down may make the
hernia more visible.
1
1 Remove and discard gloves. Perform hand
. hygiene.

1 Document findings in the client record

2 using printed or electronic forms or
. checklists supplemented by narrative notes
when appropriate.

DATE OF
COMPLETE YE
NO COMPLETIO SIGNED
D S
N

REMARKS:
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BREAST AND LYMPHATIC VESSELS | NSG 102.2