Male Genitals and Male Genitals and Inguinal AreaInguinal Area

AnatomyAnatomy

Consist of:Consist of:

testistestis

series of ductsseries of ducts

accessory accessory glandsglands

supporting supporting structuresstructures

AnatomyAnatomy

DuctsDucts epididymisepididymis vas deferensvas deferens urethraurethra

Accessory glandsAccessory glands seminal vesiclesseminal vesicles prostate glandprostate gland bulbourethral glandsbulbourethral glands

AnatomyAnatomy

Supporting structuresSupporting structures

ScrotumScrotum

PenisPenis

Stages of Male Pubic Hair and Stages of Male Pubic Hair and External Development (12-16 External Development (12-16

Years)Years) Stage 1Stage 1 Stage 2Stage 2

Stage 3Stage 3

Stage 4Stage 4

Stage 5Stage 5

DefinitionsDefinitions Hernia – is a protrusion of the intestine Hernia – is a protrusion of the intestine

through the inguinal wall or canalthrough the inguinal wall or canal Indirect Hernia – Is a loop of bowel that Indirect Hernia – Is a loop of bowel that

enters the internal inguinal ringenters the internal inguinal ring Direct inguinal Hernia – enters the Direct inguinal Hernia – enters the

inguinal canal directly through a inguinal canal directly through a weakness in the abdominal wall just weakness in the abdominal wall just behind the external inguinal ring. behind the external inguinal ring.

Femoral Hernia – is lower and more Femoral Hernia – is lower and more lateral than and inguinal area and may lateral than and inguinal area and may look like an enlarged lymph nodelook like an enlarged lymph node

HerniaHernia

Direct Inguinal HerniaDirect Inguinal Hernia occurs in the inguinal occurs in the inguinal

area, near the inguinal area, near the inguinal ringring

occur less frequently occur less frequently than indirect inguinal than indirect inguinal herniahernia

are more common in are more common in menmen

usually occur after the usually occur after the age of 40age of 40

HerniaHernia

Indirect Inguinal Indirect Inguinal HerniaHernia

located in the groin, a located in the groin, a result of a weakness result of a weakness in the inguinal ringin the inguinal ring

the most common the most common type of herniatype of hernia

can be present at can be present at birthbirth

may occur later in lifemay occur later in life

HerniaHernia

Femoral HerniaFemoral Hernia

DefinitionsDefinitions

Cancer of the prostate gland – is the Cancer of the prostate gland – is the most common cancer in adult men; most common cancer in adult men; ages over 50ages over 50

Testicular cancer – most commonly Testicular cancer – most commonly found on the anterior and lateral found on the anterior and lateral surfaces of the testes; primarily in surfaces of the testes; primarily in young men ages 15-35young men ages 15-35

AssessmentAssessment

EquipmentEquipmentexamination glovesexamination gloves סס

ImplementationImplementation1.1. Explain the procedure to the client.Explain the procedure to the client.2.2. Wash hands, apply gloves, and Wash hands, apply gloves, and

observe appropriate infection observe appropriate infection control procedure.control procedure.

3.3. Provide for client privacy.Provide for client privacy.

AssessmentAssessment

4. Inquires client’s history:4. Inquires client’s history: usual voiding patterns and any usual voiding patterns and any changeschanges bladder controlbladder control urinary incontinence, frequency, urinary incontinence, frequency, urgency, abdominal painurgency, abdominal pain any symptoms of STDany symptoms of STD any swellingany swelling

AssessmentAssessment

..continuation of history..continuation of history

family history of nephritisfamily history of nephritis

malignancy of the prostatemalignancy of the prostate

malignancy of the kidneymalignancy of the kidney

AssessmentAssessment

Ω Ω Pubic HairPubic Hair

5. Inspect the distribution, amount, 5. Inspect the distribution, amount, and characteristic of the pubic hair.and characteristic of the pubic hair.

Ω PenisΩ Penis

6. Inspect the penile shaft and glans 6. Inspect the penile shaft and glans penis for lesions, nodules, swellings, penis for lesions, nodules, swellings, and inflammation.and inflammation.

AssessmentAssessment

7. Inspect the urethral meatus for 7. Inspect the urethral meatus for swelling, inflammation and discharge.swelling, inflammation and discharge.

8. Palpate the penis for tenderness, 8. Palpate the penis for tenderness, thickening and nodules.thickening and nodules.

Ω ScrotumΩ Scrotum

9. Inspect the scrotum for appearance, 9. Inspect the scrotum for appearance, general size and symmetry.general size and symmetry.

AssessmentAssessment

10. Palpate the scrotum to assess 10. Palpate the scrotum to assess status of the underlying testes, status of the underlying testes, epididymis, and spermatic cord.epididymis, and spermatic cord.

Ω Inguinal areaΩ Inguinal area11. Inspect bothers inguinal areas for 11. Inspect bothers inguinal areas for

bulges while the client is standing.bulges while the client is standing.12. Palpate hernias.12. Palpate hernias.13. Document findings. 13. Document findings.

Lifespan ConsiderationsLifespan Considerations

InfantsInfants

The foreskin of the infant is normally The foreskin of the infant is normally ססtight the first 2 or 3 months of life is tight the first 2 or 3 months of life is not readily retractable.not readily retractable.

ChildrenChildren

The scrotum is usually palpated The scrotum is usually palpated סס determine whether testes are determine whether testes are descended.descended.

Lifespan ConsiderationsLifespan Considerations

Ensure that you have parent or Ensure that you have parent or ססguardian’s approval to perform the guardian’s approval to perform the examination and tell the child what examination and tell the child what you are going to do.you are going to do.

In young boys, the cremasteric In young boys, the cremasteric סס reflex can cause the testes to ascend reflex can cause the testes to ascend into the inguinal canal.into the inguinal canal.

Lifespan ConsiderationsLifespan Considerations

EldersElders

The penis and testes decreases in size with ageThe penis and testes decreases in size with age

Testosterone is produced in smaller amounts.Testosterone is produced in smaller amounts.

More time and direct physical stimulation are More time and direct physical stimulation are required for an older man to achieve an erection.required for an older man to achieve an erection.

Seminal fluid is reduced in amount and Seminal fluid is reduced in amount and viscosityviscosity

Urinary frequency, nocturia, drbbling, and Urinary frequency, nocturia, drbbling, and problems with beginning and ending the streamproblems with beginning and ending the stream

Testicular Self ExaminationTesticular Self Examination