Diagnostic Tests for Phimosis

Phimosis Tests: Book Excerpts

• Physical assessment - Introduction Sexual Disorders

Phimosis Diagnosis: Book Excerpts

• Sexual history - Introduction Sexual Disorders

Diagnostic Tests for Phimosis: Online Medical Books

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Introduction: Sexual Disorders: Physical assessment
(Professional Guide to Diseases (Eighth Edition))

Physical assessment, primarily a diagnostic tool, can also serve as an excellent opportunity for patient teaching.

❑ During examination of the female, evaluate breast development, pubic hair distribution, and the development of external genitalia. With gloved hands, use a speculum to examine internal genitalia, including the cervix and vagina. Palpate the uterus and ovaries.

ELDER TIP Take special care when examining an older woman because atrophic changes of the vaginal mucosa may increase her discomfort during a pelvic examination. Use a small speculum because of the decreased vaginal size. To ease insertion, dampen the speculum with warm water; don’t use a lubricant because it may alter Papanicolaou test results. Proceed slowly; abrupt insertion of the speculum may damage sensitive degenerating tissue.

❑ During examination of the male, check pubic and axillary hair distribution. With a gloved hand, palpate the penis, scrotum, prostate gland, and rectum. Inspect the penis (shaft, glans, and urethral meatus) for lesions, swelling, inflammation, scars, or discharge. In the uncircumcised male, retract the foreskin to visualize the glans. Examine the scrotum for size, shape, and abnormalities, such as nodules or inflammation. Check for the presence of both testes (the left testis is typically lower than the right).

ELDER TIP The testes of an older male may be slightly smaller than those of a younger male, but they should be equal in size, smooth, freely moveable, and soft without nodules.

❑ Inspect and palpate the inguinal canal; you shouldn’t observe any bulging of tissues or organs. (See Male sexual anatomy, page 994.)

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Source: Professional Guide to Diseases (Eighth Edition), 2005

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