The Genital region
The genitals of both sexes are of great interest in later years. What can be expected as normal sexual activity after fifty seems almost a hidden question and an understanding of male and female physical problems is difficult to obtain.
Examination of the Male Region
Examination of the external genital system in the male requires only privacy, a well-lighted room which can be darkened, and a small flashlight.
Fig. 104. The male genital organs and urinary system are closely associated; while in sexual use, the urinary function of these organs is temporarily blocked. Because the testicle cannot function at body temperature, it is located outside the scrotum where temperatures are lower.
1. Examine the head of the penis for any reddened irritation or pus, after the prepuce skin is pulled back. Also observe any discharge of pus from the urethra, when the penis is squeezed gently. These findings possibly indicate internal infection of the penis or prostate.
2. Examine the entire skin of the penis and scrotum. Note here, any open sore, whether or not it is painful. These
skin findings include the possible chance of syphilis, the Ducrey bacillus chancroid, an early cancer of the penis,
boil-like infections or large sebaceous cysts (blackheads).
3. Examine the scrotal sac, which holds the testicles, in a dark room, by stretching the scrotum over the lens of a flash light. Feel any painless enlargement in the scrotum above the testicles, through which light passes easily. Light transparent enlargements in the scrotum may mean hydrocele or water cysts.
4. Examine the testicles within the scrotum. One testicle is normally higher than the other, but notice any pain in either testicle with gentle palpation or squeezing. Note also any apparent shrinkage or any firm enlargement in one
or both testicles. Such findings might indicate the presence of testicular tumors, atrophy, or infection.
5. Examine the urinating ability. Determine if there is a lengthened period of time required before urination begins, and compare the force of the urinary stream with earlier years. Note also any burning during or just after
the act of urination. Hesitant urination and weakened or burning urinary stream may mean prostatic difficulties.
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