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Genito-Urinary ExaminationGenito-Urinary Examination
Robert C. Flani an, MDRobert C. Flani an, MD
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GU &rgan"GU &rgan"
'nternal'nternal -(idney-(idney - Ureter- Ureter - )ladder- )ladder --ro"tatero"tate - Seminal $e"i%le- Seminal $e"i%le - *a"al amp+lla- *a"al amp+lla
ExternalExternal - eni"- eni" - e"ti"- e"ti"- Epididymi"- Epididymi" - *a" de!eren"- *a" de!eren"--
Spermati% %ordSpermati% %ord
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(idney(idney
alpable only in %hildren and lean ad+lt"alpable only in %hildren and lean ad+lt"
EnlargementEnlargement
- ydronephro"i"- ydronephro"i"
- +mor- +mor
- erinephri% pathology- erinephri% pathology
Renal painRenal pain
- alpate in C*A- alpate in C*A
- yelonephriti"- yelonephriti"- Urolithia"i"- Urolithia"i"
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UreterUreter
'mpalpable ex%ept hen ma""i$ely dilated in %hildren'mpalpable ex%ept hen ma""i$ely dilated in %hildren
ra+mati/ed by GS0 and "tabbing o$er a ide area o!ra+mati/ed by GS0 and "tabbing o$er a ide area o!
abdomen and ba%1 abdomen and ba%1
)e"t examined radiologi%ally)e"t examined radiologi%ally
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)ladder)ladder
Extraperitoneal organ in ad+lt"Extraperitoneal organ in ad+lt"
alpable abo$e p+bi" in midlinealpable abo$e p+bi" in midline
D+ll to per%+""ionD+ll to per%+""ion
Compre""ion eli%it" painCompre""ion eli%it" pain
Di"ten"ionDi"ten"ion- Urinary retention- Urinary retention
- Di"pla%ement- Di"pla%ement
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ro"tatero"tate
alpable by DREalpable by DRE
22Che"tn+t-"i/ed, "3+a"h ball %on"i"ten%y4Che"tn+t-"i/ed, "3+a"h ball %on"i"ten%y4
Enlargement in 567"Enlargement in 567"
ExaminationExamination
- o"ition- o"ition
- #andmar1"- #andmar1"
- ro"tate !eat+re"- ro"tate !eat+re"
Radiologi% imagingRadiologi% imaging
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Seminal *e"i%leSeminal *e"i%le
'mpalpable ex%ept in rare %a"e"'mpalpable ex%ept in rare %a"e"
#ie" po"tero-lateral to pro"tate#ie" po"tero-lateral to pro"tate
F+n%tionF+n%tion
Radiologi% imagingRadiologi% imaging
EnlargementEnlargement- +mor- +mor
- E8a%+latory d+%t ob"tr+%tion- E8a%+latory d+%t ob"tr+%tion
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*a"al Amp+lla*a"al Amp+lla
'mpalpable ex%ept in rare %a"e"'mpalpable ex%ept in rare %a"e"
#ie" po"terior to pro"tate either "ide o! midline#ie" po"terior to pro"tate either "ide o! midline
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eni"eni"
AnatomyAnatomy
Abnormalitie"Abnormalitie"
- Meat+"- Meat+"
- rep+%e- rep+%e
- S1in- S1in
- Ere%tile %hamber"- Ere%tile %hamber"
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e"ti"e"ti"
Dimen"ion"Dimen"ion"
Con"i"ten%yCon"i"ten%y
EnlargementEnlargement- e"ti" $er"+" entire hemi"%rot+m9- e"ti" $er"+" entire hemi"%rot+m9
- 2Get abo$e ma""94- 2Get abo$e ma""94
- enderne""9- enderne""9
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*a" De!eren"*a" De!eren"
Di!!i%+lt to palpate ex%ept thro+gh pra%ti%eDi!!i%+lt to palpate ex%ept thro+gh pra%ti%e
Fibro+", mobile %ordFibro+", mobile %ord
re"en%e $" ab"en%ere"en%e $" ab"en%e
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Epididymi"Epididymi"
o"terolateral to te"ti"o"terolateral to te"ti"
Anatomi% part"Anatomi% part"
EnlargementEnlargement- 'n!lammation:in!e%tion- 'n!lammation:in!e%tion
- +mor- +mor
- &b"tr+%tion- &b"tr+%tion
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Spermati% CordSpermati% Cord
*ari%o"e $ein" ;*ari%o%ele"<*ari%o"e $ein" ;*ari%o%ele"<
#ipoma#ipoma
erniaernia
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