Health Assessment- Male Genitalia

Testes,
Epididymis,
Spermatic cord,
Muscle layer

Prostate gland

Enlargement of the testes (followed by pubic hair and increased penis size)

1. No definite end to fertility
2. Decreased/gray pubic hair
3. Decrease in penis size
4. Scrotum hangs lower/pendulous
5. Decreased rugae
6. Ejaculation shorter/less forceful

Stage 1- no pubic hair, preadolescent penis and scrotum size
Stage 2- few straight, darker hairs at base of penis, little/no enlargement in penis, testes and scrotum begin to enlarge, reddening scrotal skin
Stage 3- sparse, dark, coarse, curly hair over entire pubis, penis enlarging (esp length) scrotum enlarging
Stage 4- thick pubic hair growth (not on thighs), penis growths in length and diameter development of glans, scrotum darker, testes almost fully grown
Stage 5- pubic hair growth on thighs but not abdomen, adult size/shape penis and scrotum

It is normal to palpate an isolated node on occasion but it should be small (<1cm), soft, discrete, and moveable!!

Reflex elicited by lightly stroking the superior and medial inner part of the thigh.
Normal response= immediate contraction of the cremaster muscle that pulls the testis on the side stroked (and only on that side)

GSE- 13-14 yrs
Testicular CA most common in young men age 15-35

Red, raised, warty growth or ulcer with watery discharge. Necroses and sloughs as it grows. Usually painless, glans or inner lip of foreskin. Following chronic inflammation, enlarged nodes common

Inflammation of glans that occurs only in uncircumised individuals. This is often associated with phimosis (foreskin advanced and fixed tight). Can be caused by bact or fungal infections. Most common in men w/ poorly controlled DM and a candidal infection

Foreskin advanced and fixed tight; impossible to retract over glans. Congenital or acquired from adhesions secondary to infection. Poor hygeine leads to retained dirt and smegma. Increases risk for inflammation or calculus formation

Foreskin retracted behind glans and fixed. Constriction impedes circulation and glans swells. If left untreated, may compromise arterial circulation

Meatus opens on ventral side of glans, shaft or base of penis. A groove extends from meatus to normal location at tip. Congenital! Should not be circumcised b/c foreskin may be needed for surgical correction

Meatus opens on dorsal side of glans or shaft. Less common; associated urinary incontinence, seperation of pubic bones

Prolonged, painful erection of penis w/o sexual desire
(Does NOT include erections caused by Viagra, etc. Must be unintended)