Groin Swelling: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; further:
    • Inspection (viewing).
      • Skin and mucous membranes
    • Inspection and palpation (palpation) of all lymph node stations (cervical, nuchal, supraclavicular, axillary, etc.) [if lymph node enlargement in the inguinal region/groin region is suspected; see also “Lymph node enlargement (lymphadenopathy)/physical examination“].
    • Inspection and palpation of the inguinal region and the entire abdomen (abdomen).
    • Inspection and palpation of the male genitalia.
      • Penis and scrotum (scrotum); assessment of pubes hair (pubic hair), penis (penis length: in flaccid state between 7-10 cm; presence of: Indurations (tissue hardening), anomalies, phimosis/foreskin stenosis?)
      • Testicular position and size (if necessary by orchimeter): examination of both testicles (side difference or swelling?).
    • Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation: assessment of the prostate in size, shape and consistency.

Square brackets [ ] indicate possible pathological (pathological) physical findings.