Podcast
Questions and Answers
A patient reports pain and burning during urination. Which of the following is the MOST important initial question to ask to gather further subjective data related to the male genitourinary system?
A patient reports pain and burning during urination. Which of the following is the MOST important initial question to ask to gather further subjective data related to the male genitourinary system?
- Are you experiencing any difficulty starting your urine stream? (correct)
- Have you noticed any changes in your bowel movements?
- Do you perform testicular self-examination (TSE)?
- Do you have any pain or sores on your penis?
Solid scrotal contents will transilluminate during physical examination.
Solid scrotal contents will transilluminate during physical examination.
False (B)
A newborn male presents with a urethral meatus located on the underside of the penis. What condition does this infant likely have?
A newborn male presents with a urethral meatus located on the underside of the penis. What condition does this infant likely have?
hypospadias
Normal urine should have little to no ______ present.
Normal urine should have little to no ______ present.
Match the following conditions with their descriptions:
Match the following conditions with their descriptions:
Which of the following urine characteristics documented in a patient's chart requires immediate follow-up?
Which of the following urine characteristics documented in a patient's chart requires immediate follow-up?
Benign Prostatic Hyperplasia (BPH) is a form of prostate cancer.
Benign Prostatic Hyperplasia (BPH) is a form of prostate cancer.
A nurse is educating a young male patient on testicular self-examination (TSE). Which of the following instructions is MOST important to include?
A nurse is educating a young male patient on testicular self-examination (TSE). Which of the following instructions is MOST important to include?
Flashcards
Hypospadias
Hypospadias
Urethral meatus opens on the ventral (under) side of the glans or shaft.
Epispadias
Epispadias
Urethral meatus opens on the dorsal (upper) side of the glans or shaft.
Hydrocele
Hydrocele
A circumscribed collection of fluid around the testes.
Cryptorchidism
Cryptorchidism
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Benign Prostatic Hyperplasia (BPH)
Benign Prostatic Hyperplasia (BPH)
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Normal Urine Characteristics
Normal Urine Characteristics
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Testicular Self-Examination (TSE)
Testicular Self-Examination (TSE)
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Minimum Hourly Urine Output
Minimum Hourly Urine Output
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Study Notes
- The male genitourinary system is essential for reproduction and urinary function.
Subjective Data Collection
- Inquire about pain or burning during urination.
- Ask about difficulties starting a urine stream.
- Check for any penile pain or sores.
- Determine if the patient performs testicular self-examination (TSE).
Objective Data Collection
- Physical examination involves inspection and palpation of the penis and scrotum.
Penis Examination
- Inspect and palpate the penis.
- Check the skin, glans, urethral meatus, and shaft for abnormalities.
Scrotum Examination
- Inspect and palpate the scrotum.
- Examine the skin, testes, and spermatic cord.
- Transillumination is performed only if swelling or a mass noted, solid scrotal contents do not transilluminate.
Lymph Node Examination
- Palpate inguinal lymph nodes.
- Check the horizontal chain along the groin inferior to the inguinal ligament.
- Check the vertical chain along the upper inner thigh.
Abnormal Urethral Meatus Findings
- Hypospadias: Urethral meatus opens on the underside (ventral) of the glans or shaft, often with penile curvature and incomplete foreskin. It's a common congenital disorder.
- Epispadias: Urethral meatus opens on the upper side (dorsal) of the glans or shaft above a broad, spadelike penis that could result in urinary incontinence and separation of pubic bones. Is considered rare.
Urine Characteristics
- Normal urine is clear and slightly acidic, pH ranging from 4.5 to 8.0.
- Should have little to no protein.
- Should have no glucose.
Charting Urinary Output Example
- Example: 02/19/2025 0652 Patient’s foley catheter emptied 540mL of cloudy amber urine, no odor noted. A.Andersen, RN
- 30mL is the minimum amount of urine every hour!
Developmental Considerations
- Infant: Assess for cryptorchidism (undescended testes) and hydrocele (fluid around the testes).
- Aging Adult: Benign Prostate Hyperplasia (BPH) can cause obstructed urine stream and risk for urinary tract infection. It is not cancer.
Health Promotion and Risk Reduction
- Testicular cancer has a high cure rate when detected early.
- Monthly testicular self-examinations (TSE) are important.
- Timing: One a month and after a shower.
- Shower: Warm water relaxes the scrotal sac.
- Examine: Check for changes and report any changes immediately.
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Description
Assessment of the male genitourinary system involves subjective and objective data collection. Subjective data includes inquiries about pain during urination and penile sores. Objective data includes physical examination by inspection and palpation of the penis and scrotum.
