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ASSESSING THE MALE GENITOURINARY SYSTEM

ASSESSING THE MALE GENITOURINARY SYSTEM. Outcomes. Identify pertinent male genitourinary history questions. Obtain a male genitourinary history. Perform a male genitourinary physical assessment. (Continued). Outcomes. Document pertinent male genitourinary assessment findings.

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ASSESSING THE MALE GENITOURINARY SYSTEM

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  1. ASSESSING THE MALE GENITOURINARY SYSTEM

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

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

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

  5. FunctionsWhat are the functions of… Scrotum: Sac that contains testes Testes: Produces sperm and testosterone Vas deferens: Duct from epididymis to ejaculatory duct (Continued)

  6. 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)

  7. FunctionsWhat are the functions of… Prostate: Produces 20% of semen Epididymis: Stores sperm until it is mature Kidney: Filters blood and removes wastes (Continued)

  8. FunctionsWhat are the functions of… Ureter: Tube connecting kidney to bladder Bladder: Hollow, muscular structure, holds urine Urethra: Passageway for urine (Continued)

  9. FunctionsWhat are the functions of… Penis: Male sex organ and urine elimination Glans penis: Important for sexual arousal (Continued)

  10. FunctionsWhat are the functions of… Inguinal area: Canal for vas deferens from scrotum through the abdominal muscles, inguinal lymph nodes

  11. Male Reproductive Organs

  12. Male Development

  13. 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

  14. SymptomsWhat symptoms would signal a problem with the male genitourinary system? • Genital pain • Lesions • Genital swelling • Penile discharge • Urinary symptoms

  15. Physical Assessment Anatomical landmarks: external--note position of structures; internal-- visualize underlying structures Approach: inspection, palpation Position: standing or supine, leaning over table or Sim’s position (Continued)

  16. Physical Assessment Tools:gloves, lubricant, pen light, slides & swabs for specimen collection, and stethoscope General survey and head-to-toe scan

  17. 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

  18. Palpation Penis: consistency, tenderness, masses, discharge Scrotum & testes: size, shape, symmetry, mobility, tenderness, masses Epididymis: swelling, tenderness, nodules

  19. 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

  20. Auscultation Inguinal area: bowel sounds

  21. What actual or potential problems can you identify for Mr. Richards? Nursing Diagnosis

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