Posts tagged Foreskin

Penile Exam

A Penile Exam is very important to all males. It should always be part of the annual general exam to ensure that everything is evaluated. If there is anything wrong with the male sex organ, catching it early can make all the difference.


In a penile exam, the organ is checked for any scars and bulges in the inguinal region. It is done to see if there are penile or scrotal abnormalities. It should be noted if the patient is circumcised. The penis is checked for STD lesions, edema, hematoma, bite marks, lacerations, abrasions or dried secretions. The size of the testicle and phallus development will also be noted. The urethral meatus and scrotum will also be checked for scars, discharge, bleeding, erythema, ecchymoses, STD lesions, abrasions, or bite marks.


During a penile exam, the glans or head of the penis is examined. If the patient is uncircumcised, the foreskin is drawn back so that doctor can look at the glans in its entirety. The foreskin is then returned to its normal position at the end of the exam. If not, it can cause severe venous and arterial impediments, which can lead to necrosis of the head of the penis, a condition referred to as paraphimosis. There may be times that the foreskin will be unable to retract from the head of the penis, which is called phimosis.


The opening of the urethra will be examined whether it is more or less at the tip of the penis, on the top side (epispadias) or on the bottom side (hypospadias). The doctor will look for any obvious milky discharge that is suggesting urethritis, which is caused by the sexually transmitted diseases gonorrhea and chlamydia. As part of the penile exam, the doctor will feel the shaft for underlying firm areas or any abnormal curvature to the normally straight penis. At times, fibrosis occurs along the shaft, which causes overt plaques and penile curvature.


The testicular exam is part of the penile exam. The left testis generally lies a bit lower in the scrotum. The testes must look as two discrete swellings. If the room is rather cold, they may retract a bit up towards the inguinal canal. Each should be of the same texture and size. The doctor will carefully note any discrete bumps or lumps within the body of the testis. If there is a firm nodule, it should be checked for malignancy. The entire testis occasionally feels enlarged. This is usually caused by a hydrocele, which is a collection of fluid that fills a probable space that surrounds the testis. Hydroceles have a distinguishing texture that’s different from that of testicular tissues.