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CHAPTER 6: MALE GENITALIA
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SYMPTOMS:
- DYSURIA: Uncomfortable or painful urination
- Pain with urination: Urethritis, urethral obstruction, prostatitis.
- Pain felt after urination: bladder calculus, prostatitis.
- FREQUENCY of URINATION:
- URGENCY:
- NOCTURIA:
- POLYURIA:
- URINARY INCONTINENCE:
- HEMATURIA:
- Time of Hematuria:
- Beginning of micturition: urethral or prostatic source. Blood is originating near the meatus.
- Throughout micturitiuon: renal source. Blood is diffusely present in urine.
- End of micturition: bladder source. Blood is originating from bladder.
- Painless Hematuria: Think neoplasms (renal or bladder), renal tuberculosis, acute glomerulo-nephritis.
- OLIGURIA, ANURIA: Renal failure.
- Oliguria: 24-hr urine output less than 400 ml
- Anuria: 24-hr urine output less than 100 ml
- PNEUMATURIA: Passage of air or stool through urinary tract. It indicates the presence of fistula tracts
connecting the GI and UG tracts, such as after surgery or with inflammatory bowel disease.
- PROSTATISM: No direct relationship exists between voiding habits and feelings of urgency, and the size of
Benign Prostatic Hyperplasia.
- PENILE PAIN, ULCERS, DISCHARGE:
- Phimosis: Constriction of the penis, causing pain in uncircumcised penises.
- LOSS of LIBIDO, IMPOTENCE:
- INFERTILITY:
- SCROTAL SWELLING, TESTICULAR PAIN: Testicular pain is usually caused by torsion, hydrocele, varicocele,
or spermatocele. Testicular tumors are usually painless when they present.
PHYSICAL EXAM:
- PENIS
- Balanitis: Inflammation of the glans penis. Causes:
- Diabetes mellitus
- Infections: Candida, Trichomonas
- Drug reactions
- Reiter's Syndrome
- Peyronie's Disease: Lateral deviation of penis, caused by unilateral inflammation of a corpus cavernosum.
- SCROTUM
- Atrophic Testes: Caused by orchitis, trauma, chronic alcoholism, cirrhosis.
- Hydrocele: Transillumination of a scrotal mass will illumiunate a hydrocele. If a painful mass is present,
transilluminate it.
- PROSTATE
- INGUINAL CANALS and GROIN: See abdominal study guide.
- RECTAL EXAM
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