Physical assessment - Male reproductive system: Nursing

Assessment of the male reproductive system should be completed as part of a comprehensive client assessment, like during a routine physical exam, or as part of a focused exam if the client is experiencing issues like testicular pain. This assessment provides the nurse with information about the client’s reproductive health. Now, let’s review the process of completing an assessment of the male reproductive system.

Okay, the supplies you’ll need include drapes, gloves, penlight, sterile swabs in the event a culture needs to be collected, and a good source of light. Then, prepare for the exam by ensuring your client is in a comfortable position, that your hands are warm, and that the temperature in the room is comfortable. Provide privacy by closing the door and curtains, properly draping your client, and only exposing areas of their body as needed to perform your examination.

Now, as the nurse, you may assist the healthcare provider or act as a chaperone, which is often required by facilities to protect clients and clinicians during exams of the reproductive system. During the examination, keep in mind that this process can be emotionally uncomfortable and anxiety-producing for some clients, particularly those who have experienced sexual trauma or who are transgender. Be sure to use the patient’s indicated pronouns and be aware of variations in the genitals for those who have had gender affirming surgeries. It’s also crucial to explain exactly what will happen at each step of the exam. Remember to avoid rushing your assessment, use a gentle touch, and to let your client know that at any time the exam can be stopped or paused if they request it.

Before getting started, explain the procedure to your client and be sure to answer any questions they might have before obtaining verbal consent. Then, perform hand hygiene and collect your supplies.

During this assessment, you will locate the penis, which consists of the shaft, glans, and urethral meatus; scrotum, testes, epididymis, spermatic cord, and inguinal canal.