Male Genitourinary Exam

  • Mark A. Goldstein


During adolescence, examination of the male genitalia should be part of the annual examination. The purposes of this examination are to stage development, detect disease, and instruct boys on testicular self-examination. In addition, some boys are assured by “normal” findings in the exam. A chaperone is generally unnecessary but could be offered to younger adolescent males. Usually parents should be excused. Some boys prefer to be gowned. The genital exam is best performed when the boy is standing and the area well illuminated. A brief description of the exam should be given beforehand. It is best to have the patient roll back the foreskin (see Fig. 1).


Testicular Cancer Spermatic Cord Male Genitalia Testicular Tumor Testicular Torsion 
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References and Additional Readings

  1. Adelman WP, Joffe A. Testicular masses/cancer. Pediatr Rev 2005;26:341–43.PubMedCrossRefGoogle Scholar
  2. Gatti JM, Murphy JP. Acute testicular disorders. Pediatr Rev 2008;29:235–40.PubMedCrossRefGoogle Scholar
  3. Goldstein MA. Male puberty: physical psychological, and emotional issues. Adolesc. Med 2003;14:541–53.PubMedGoogle Scholar
  4. Jenkins JT, O’Dwyer PJ. Inguinal hernias. BMJ 2008;336:269–72.PubMedCrossRefGoogle Scholar
  5. Korben A, Dissemond J. Pearly penile papules. CMAJ 2009; 181:397.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Division of Adolescent and Young Adult MedicineMass General Hospital for ChildrenBostonUSA

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