Chen Walta review
Questions and Answers
Normal male genitalia hair distribution
✓~ hair is coarse and should be abundant in pelvic region and may continue to midline and
around scrotum and anal orifice, penis should be free from hair and scrotum usually has
scant
Normal Penis
✓~ dorsal vein should be visible, note if circumsized or not, if not retract foreskin, should
move easily and may see smegma, if circ glans is exposed, dry and erythematous
Phimosis
✓~ tight foreskin that can't be retracted
Balanitis
✓~ inflammation of the glans penis
Balaloposthitis
, ✓~ inflammation of the glans penis and prepuce
male urethral orifice
✓~ slitlike and on ventral surface milimeters from the glans, press glans to open, should be
pink and glistening, bright erythema or diacharge indicates inflammatory process
Penile shaft
✓~ palpate for tenderness or induration, strip urethra for discharge (discharge indicates
STI, texture of flaccid penis should be soft and free of nodules
Priaprism
✓~ persistent and painful erection
scrotum
✓~ deeper pigmented than body skin, surface may be coarse, usually asymetric, left often
lower, lumps in skin are common and are from sebaceous cysts (epidermoid cysts)
Hernia assessment