This episode provides a detailed step-by-step guide to performing an examination of the male genitalia. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"excerpt":{"rendered":"
This episode provides a detailed step-by-step guide to performing an examination of the male genitalia. Once you have watched this video, why not attempt the multiple choice quiz to consolidate your knowledge?<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45],"tags":[],"class_list":["post-766","post","type-post","status-publish","format-standard","hentry","category-ceip","entry"],"youtubeVideo":"435757873\/e7a2a0e49e","question1":"It is always appropriate to take a urethral swab when examining the male genitalia.","answers1":"True | False","correctAnswer1":"1","correctAnswerText1":"A urethral swab is appropriate if urethritis from a sexually transmitted infection is suspected. Otherwise, it is usually not necessary to swab the urethra.","question2":"You can \u2018get above\u2019 (i.e. feel the upper border) a true scrotal lump.","answers2":"True | False","correctAnswer2":"0","correctAnswerText2":"This is the differentiating feature between an inguino-scrotal hernia (hernia sac containing omental fat or small bowel usually) where the scrotal swelling extends superiorly through the external inguinal ring and a non-communicating hydrocele, which represents fluid in the tunica vaginalis around the testis however, this does not extend through the external inguinal ring. Note this is the common pattern of hydrocele in adults. In children, it is more common to have a communicating hydrocele where the processus vaginalis is patent and the fluid does communicate with the peritoneal cavity, through the external inguinal ring.","question3":"A varicocele is best seen on standing.","answers3":"True | False","correctAnswerText3":"Varicocele represents an incompetent valve in the testicular vein, which leads to engorgement of the pampiniform plexus of veins draining the testis. By standing the patient up, the testicular veins form a standing column of blood from the inferior vena cava on the right and the renal vein on the left and the testes, thereby maximising the pressure in the pampiniform venous plexus and making the varicocele easily detectable.","correctAnswer3":"0","question4":"A varicocele will transilluminate.","answers4":"True | False","correctAnswer4":"1","correctAnswerText4":"Transillumination occurs in a hydrocele or a large epidydimal cyst due to the collection of water like fluid which allows light to pass through.","question5":"Retracting the foreskin is an important part of examining the penis.","answers5":"True | False","correctAnswer5":"0","correctAnswerText5":"Inspection of the glans penis for pathology such as inflammation (balanitis), scarring of the external urethral meatus or penile cancer is a key to penile examination. Clearly, this is not possible without retracting the foreskin.","question6":"The vas deferens feels like a thick piece of string.","answers6":"True | False","correctAnswer6":"0","correctAnswerText6":"The vas deferens is a cord, which is firm and incompressible (as opposed to the testicular artery and pampiniform plexus of veins).","question7":"The epididymis is found on the posterior medial aspect of each testicle.","answers7":"True | False","correctAnswer7":"1","correctAnswerText7":"The epidydimis is posterior to the testis.","question8":"Palpable plaques or abnormal curvature of the penis may indicate Peyronie\u2019s disease.","answers8":"True | False","correctAnswer8":"0","correctAnswerText8":"Peyronie\u2019s disease represents scarring or fibrosis of the tunical albuginia of the penis. This represents palpable penile plaques and causes abnormal curvature of the penis on erection.","question9":"Hydroceles feel like a bag of worms.","answers9":"True | False","correctAnswer9":"1","correctAnswerText9":"A varicocele feels like a bag of worms.","question10":"The correct exposure for performing a male genitalia examination should be from nipples to mid thigh.","answers10":"True | False","correctAnswer10":"0","correctAnswerText10":"This allows examination of the abdomen, the external genitalia and a digital rectal examination of the prostate; these are the fundamental components of a urological examination.","question11":"","answers11":"","correctAnswer11":"","correctAnswerText11":"","question12":"","answers12":"","correctAnswer12":"","correctAnswerText12":"","question13":"","answers13":"","correctAnswer13":"","correctAnswerText13":"","question14":"","answers14":"","correctAnswer14":"","correctAnswerText14":"","question15":"","answers15":"","correctAnswer15":"","correctAnswerText15":"","icon":"legs","parentId":"","recapId":"","_links":{"self":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/766"}],"collection":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=766"}],"version-history":[{"count":2,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/766\/revisions"}],"predecessor-version":[{"id":768,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=\/wp\/v2\/posts\/766\/revisions\/768"}],"wp:attachment":[{"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=766"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=766"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vapp.rguc.co.uk\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=766"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}