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ASSESSMENT AND COMMON FINDINGS (OBJECTIVE DATA (scrotum (should be…
ASSESSMENT AND COMMON FINDINGS
SUBJECTIVE DATA
patterns of micturition
difficulty in voiding, pain or burning on voiding and urgency, as is the in urinary tract infection and enlargement of the prostate
reduced urine stream pressure, difficulty in starting pr stoping the urine stream or dribbling of urine, and a feeling of bladder fullness after voiding, as is the case in enlargement of prostate
frequency, especially at night, could be linked to urinary tract infection and sexually transmitted
testes
the nurse should also ascertain whether the patient has observed any change in the size of the testes
observed any filling in the scrotum
reported any pain and\or tension in the scrotum or the testes themselves
sexual functioning
this should be assessed taking cognisance of chronic illness such as hpyertension, diabetes mellitus and arthritis
the age of the patient
stress levels
alcohol consumption and medication, all of which can decrease sexual desire and ability
OBJECTIVE DATA
The penis
the penis should be inspected for the presence and position of the urinary meatus to exclude hyper-or hypospadias
if the patient is uncircumcised, the prepuce or foreskin must retract easily over the glans to exclude phimosis and paraphimosis
scrotum
should be examined for texture
rugae
size of testes
symmetry and the presence of both testes
The testes
the testes should be examined for masses
swelling
mobility
The prostate gland
can be examined through the rectum by digital examination. a gloved and lubricated finger can be inserted into the rectum to palpate the prostate and dertemine its size
shape
consistency