Assessment Of Genitourinary
Review of anatomy and physiology of genitourinary
Male Genitalia External Genitalia
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Penis
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Scrotum
Internal Genitalia
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Testes
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Spermatic cord
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Male Urinary
Male Urinary
Kidneys
Ureters
Bladder
Prostate
Urethra
Examining Male Urinary
Inspection abdomen
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Inspect the with the patient lying supine. The
abdomen should be symmetrical and smooth, flat,
or concave. Observe the color and shape of the area
around the kidneys and bladder. The skin should be
free from lesions, bruises, discolorations, and
prominent veins.
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Kidney enlargement - Kidney enlargement may
indicate cysts, hydronephrosis, or tumors.
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Hematuria - Presence of blood in the urine, or
hematuria, may indicate UTI, renal calculi, bladder
cancer, or trauma to the urinary mucosa. It may also
be a temporary condition after urinary tract surgery
or urinary catheterization.
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Nocturia - Excessive urination at night, or nocturia,
is a common sign of renal or lower urinary tract
disorders. It can result from endocrine or metabolic
disorders or prostate cancer.
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Proteinuria - is a high level of protein in your
urine (pee). This condition can be a sign of kidney
damage.
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Polycystic kidney disease (PKD) - is an inherited
disorder in which clusters of cysts develop
primarily within your kidneys, causing your
kidneys to enlarge and lose function over time.
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Glomerulonephritis - tissues in the kidney become
inflamed and have problems filtering waste from
the blood. be caused by infection, inflammatory
conditions (such as lupus), certain genetic
conditions, and other diseases or conditions
Percussion and palpation of the kidneys
Percussion of the bladder:
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To percuss the bladder, ask the patient to empty it.
Then have the patient lie in the supine position.
Start at symphysis pubis and percuss upward to
hear tympany.
Palpation of the bladder:
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won’t be able to palpate the bladder unless it’s
distended.
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patient in a supine position, use the fingers of one
hand to palpate the lower abdomen in a light
dipping motion.
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A distended bladder will feel firm and relatively
smooth, extending above the symphysis pubis.
Urinary Incontinence - may be transient or
permanent. f urine released may be small or large.
Possible causes include stress incontinence, tumor,
bladder cancer and calculi, and neurologic
conditions, such as
Guillain-Barré syndrome, multiple sclerosis, and
spinal cord injury.
Evaluate patient's kidney, bladder, male and female
genitalia to detect changes and determine genitourinary
status.
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Urinary frequency - increased incidence of the
urge to urinate. It may be caused by bladder calculi,
urinary tract infections (UTIs), and urethral
stricture. In men, it may be caused by benign
prostatic hyperplasia or prostate cancer, which can
put pressure on the bladder.
Other:
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Inguinal area
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Anus
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Rectum
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Prostate
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AF Urinary: