Groin and Scrotum Examination


  • Ask patient to stand

Inspect

  • femoral canals,
  • inguinal canals
  • scrotum
    • anterior aspect
    • posterior scrotal skin
    • colour
  • Ask patient to cough
  • Examine penis and scrotum
    • penis - normal shape
    • hypospadias, epispadias
    • scrotum and testes

Feel

  • Male Genitalia
    • Palpate
      • testes
        • roll testes gently
      • epididymis
      • spermatic cords
    • Assess any swelling
      • origin in scrotum or inguinal canal
      • transillumination
  • Hernia - examine both sides
    • Relationship between hernia and
      • pubic tubercle
      • inguinal ligament
    • Press over swelling / superficial inguinal ring
      • Any cough impulse
    • Reducible?
 

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