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How should the examination of the urogenital system in older male patients be conducted according to the chapter?

The examination of the urogenital system in older male patients is similar to that of younger males. It includes a rectal examination to assess the prostate, inspection and palpation of the genitalia for lesions, and palpation of the scrotum and inguinal areas for masses or lymphadenopathy.

The examination of the urogenital system in older male patients involves several steps. Initially, the genitalia are inspected and palpated for any lesions, such as those caused by herpes simplex or other conditions. The scrotum is examined for swelling or masses, and the inguinal canal is palpated for hernias. The inguinofemoral areas are checked for lymphadenopathy. A rectal examination is performed to assess the prostate gland, which is palpated for size, shape, and any irregularities. The prostate is normally heart-shaped with a central groove, and any deviations from this may indicate conditions such as benign prostatic hypertrophy or carcinoma.

Key points

  • Examination is similar to younger males.
  • Includes rectal examination for prostate assessment.
  • Inspect and palpate genitalia for lesions.
  • Palpate scrotum for swelling or masses.
  • Check inguinal canal for hernias.
  • Assess inguinofemoral areas for lymphadenopathy.
Source:Advanced Practice Nursing in the Care of Older Adults· Urological and Gynecological Disorders· p. 305–315

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Advanced Practice Nursing in the Care of Older Adults

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SECOND EDITION · F. A. Davis Company

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