ASSESSING THE MALE GENITOURINARY SYSTEM

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ASSESSING THE MALE GENITOURINARY SYSTEM
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Outcomes

• Identify pertinent male genitourinary history
  questions.
• Obtain a male genitourinary history.
• Perform a male genitourinary physical
  assessment.
• (Continued)

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Outcomes

• Document pertinent male genitourinary assessment
  findings.
• Identify actual/potential health problems stated
  as nursing diagnosis.
• Differentiate between normal and abnormal
  findings. (Continued)

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Structures

• Scrotum ? Testes
• Spermatic cord ? Seminal vesicle
• Vas deferens ? Prostate
• Epididymis ? Kidney
• Ureter ? Bladder
• Penis glans ? Inguinal Area
• Bulbourethral ? Urethra meatus
• gland (Continued)

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FunctionsWhat are the functions of

• Scrotum
• Sac that contains testes
• Testes
• Produces sperm and testosterone
• Vas deferens
• Duct from epididymis to ejaculatory duct
  (Continued)

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FunctionsWhat are the functions of

• Spermatic cord
• Protective sheath around the vas deferens
• Seminal vesicles
• Produce 70 of semen
• Bulbourethral gland
• Secretes alkaline substance to neutralize
  vaginal secretions
• (Continued)

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FunctionsWhat are the functions of

• Prostate
• Produces 20 of semen
• Epididymis
• Stores sperm until it is mature
• Kidney
• Filters blood and removes wastes
• (Continued)

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FunctionsWhat are the functions of

• Ureter
• Tube connecting kidney to bladder
• Bladder
• Hollow, muscular structure, holds urine
• Urethra
• Passageway for urine
• (Continued)

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FunctionsWhat are the functions of

• Penis
• Male sex organ and urine elimination
• Glans penis
• Important for sexual arousal
• (Continued)

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FunctionsWhat are the functions of

• Inguinal area
• Canal for vas deferens from scrotum through the
  abdominal muscles, inguinal lymph nodes

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Male Reproductive Organs
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Male Development
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HistoryWhat can the history tell you about the
male genitourinary system?

• Biographical data
• Current health status
• Past health history
• Family history
• Review of systems
• Psychosocial history

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SymptomsWhat symptoms would signal a problem
with the male genitourinary system?

• Genital pain
• Lesions
• Genital swelling
• Penile discharge
• Urinary symptoms

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Physical Assessment

• Anatomical landmarks external--note position of
  structures internal-- visualize underlying
  structures
• Approach inspection, palpation
• Position standing or supine, leaning over table
  or Sims position
• (Continued)

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Physical Assessment

• Tools gloves, lubricant, pen light, slides
  swabs for specimen collection, and stethoscope
• General survey and head-to-toe scan

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Inspection

• Penis condition of skin, color, lesions,
  discharge, size, position of urinary meatus,
  foreskin
• Scrotum size and position, color, hair
  distribution, lesions, swelling, pediculosis
• Inguinal area condition of skin, bulges
• Rectal area condition of skin, lesions,
  hemorrhoids, polyps, fissures, bleeding

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Palpation

• Penis consistency, tenderness, masses, discharge
• Scrotum testes size, shape, symmetry,
  mobility, tenderness, masses
• Epididymis swelling, tenderness, nodules

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Palpation

• Inguinal area hernias, lymph nodes, tenderness
• Anus rectum sphincter tone, tenderness,
  lesions, masses, hemorrhoids, polyps, test any
  stool for occult blood
• Prostate size, shape, symmetry, mobility,
  consistency, nodules, tenderness, grade size

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Auscultation

• Inguinal area bowel sounds

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Nursing Diagnosis

• What actual or potential problems can you
  identify for Mr. Richards?