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Genito-Urinary ExaminationGenito-Urinary Examination 

Robert C. Flani an, MDRobert C. Flani an, MD

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GU &rgan"GU &rgan"

'nternal'nternal -(idney-(idney - Ureter- Ureter - )ladder- )ladder --ro"tatero"tate - Seminal $e"i%le- Seminal $e"i%le - *a"al amp+lla- *a"al amp+lla

ExternalExternal - eni"- eni" - e"ti"- e"ti"- Epididymi"- Epididymi" - *a" de!eren"- *a" de!eren"--

Spermati% %ordSpermati% %ord

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(idney(idney

alpable only in %hildren and lean ad+lt"alpable only in %hildren and lean ad+lt"

EnlargementEnlargement

- ydronephro"i"- ydronephro"i"

- +mor- +mor

- erinephri% pathology- erinephri% pathology

Renal painRenal pain

- alpate in C*A- alpate in C*A

- yelonephriti"- yelonephriti"- Urolithia"i"- Urolithia"i"

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UreterUreter

'mpalpable ex%ept hen ma""i$ely dilated in %hildren'mpalpable ex%ept hen ma""i$ely dilated in %hildren

ra+mati/ed by GS0 and "tabbing o$er a ide area o!ra+mati/ed by GS0 and "tabbing o$er a ide area o!

abdomen and ba%1 abdomen and ba%1 

)e"t examined radiologi%ally)e"t examined radiologi%ally

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)ladder)ladder

Extraperitoneal organ in ad+lt"Extraperitoneal organ in ad+lt"

alpable abo$e p+bi" in midlinealpable abo$e p+bi" in midline

D+ll to per%+""ionD+ll to per%+""ion

Compre""ion eli%it" painCompre""ion eli%it" pain

Di"ten"ionDi"ten"ion- Urinary retention- Urinary retention

- Di"pla%ement- Di"pla%ement

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ro"tatero"tate

alpable by DREalpable by DRE

22Che"tn+t-"i/ed, "3+a"h ball %on"i"ten%y4Che"tn+t-"i/ed, "3+a"h ball %on"i"ten%y4

Enlargement in 567"Enlargement in 567"

ExaminationExamination

- o"ition- o"ition

- #andmar1"- #andmar1"

- ro"tate !eat+re"- ro"tate !eat+re"

Radiologi% imagingRadiologi% imaging

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Seminal *e"i%leSeminal *e"i%le

'mpalpable ex%ept in rare %a"e"'mpalpable ex%ept in rare %a"e"

#ie" po"tero-lateral to pro"tate#ie" po"tero-lateral to pro"tate

F+n%tionF+n%tion

Radiologi% imagingRadiologi% imaging

EnlargementEnlargement- +mor- +mor

- E8a%+latory d+%t ob"tr+%tion- E8a%+latory d+%t ob"tr+%tion

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*a"al Amp+lla*a"al Amp+lla

'mpalpable ex%ept in rare %a"e"'mpalpable ex%ept in rare %a"e"

#ie" po"terior to pro"tate either "ide o! midline#ie" po"terior to pro"tate either "ide o! midline

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eni"eni"

AnatomyAnatomy

Abnormalitie"Abnormalitie"

- Meat+"- Meat+"

- rep+%e- rep+%e

- S1in- S1in

- Ere%tile %hamber"- Ere%tile %hamber"

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e"ti"e"ti"

Dimen"ion"Dimen"ion"

Con"i"ten%yCon"i"ten%y

EnlargementEnlargement- e"ti" $er"+" entire hemi"%rot+m9- e"ti" $er"+" entire hemi"%rot+m9

- 2Get abo$e ma""94- 2Get abo$e ma""94

- enderne""9- enderne""9

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*a" De!eren"*a" De!eren"

Di!!i%+lt to palpate ex%ept thro+gh pra%ti%eDi!!i%+lt to palpate ex%ept thro+gh pra%ti%e

Fibro+", mobile %ordFibro+", mobile %ord

re"en%e $" ab"en%ere"en%e $" ab"en%e

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Epididymi"Epididymi"

o"terolateral to te"ti"o"terolateral to te"ti"

Anatomi% part"Anatomi% part"

EnlargementEnlargement- 'n!lammation:in!e%tion- 'n!lammation:in!e%tion

- +mor- +mor

- &b"tr+%tion- &b"tr+%tion

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Spermati% CordSpermati% Cord

*ari%o"e $ein" ;*ari%o%ele"<*ari%o"e $ein" ;*ari%o%ele"<

#ipoma#ipoma

erniaernia

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