A Guide to the Clinical Male Urogenital Examination presents a step-by-step instructional guide for performing a basic clinical well-male exam, including a physical assessment of the testicles, penis, rectum and prostate. Clinical Skills USA, Inc. provides students and practitioners in the healthcare professions with "hands-on" training in performing the female breast and pelvic exams and the male urogenital exam. Instruction is conducted by highly-trained men and women who guide the learners as they perform the exams on the instructors own body.
3. Introduce
the purpose and process
for the URO exam.
Inquire about
present or recent URO or sexual
problems/concerns.
Reassure
that the exam should not be
painful. Ask that they report
if it is.
Explain each
PE exam maneuver in advance,
or during the process.
5Relax your patient
by relieving anxiety
and embarrassment.
Support your
patient by periodically asking
how they are doing.
Educate your patient
about self-examination and
recognizing abnormalities.
Summarize
by discussing findings and
recommending healthy
lifestyle practices.
Encourage
open discussion of questions
and concerns.
Thank your patient
for their cooperation and
schedule future exam(s).
CLINICAL SKILLS USA, INC.
Key Communication Elements
for the Male Urogenital Exam
8. Male Urogenital Exam
Order of the Physical Examination
1) Pubic and Groin Regions
2) Hernias
3) Scrotum (sac/testes/spermaticcord/vas)
4) Penis
5) Rectum and Prostate
6) Breast (asneeded,basedonfamilyhistory)
Instructed by CLINICAL SKILLS USA, Inc.
Teaching the patient-centered clinical skills required in serving the good health of men and women of all ages.
23. Teach Testicular Self-Exam
To encourage the male patient to “know his own body”.
Explain how to conduct
the testicular self-exam (TSE):
“Gently roll the testicle between the thumb and
the fingers. You may feel a soft tubular
structure (epididymis) that appears on the top
and back testis. It is normal, and should feel like
a small deflated noodle.”
“Support the testicles in one hand and feel each
simultaneously with the other hand. They
should feel glassy and smooth, like a hard
boiled egg or olive.”
“Examining during or just after a warm shower or
bath is the best time, while scrotum is loose.”
“ Feel for any nodules or tenderness. There
may not necessarily be any pain associated
with these conditions. Consult your physician
if you notice any of the above.”