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 [due topossible andropause/menopause in men/hypogonadism (hypofunction of gonads (gonads)): dry and brittle skin; hot flashes and sweats; balding forehead hair, decreased beard growth].
- Inspection and palpation of the abdomen (abdomen), inguinal region (groin region) (tenderness?, tapping pain?, release pain?, coughing pain?, defensive tension?, hernial orifices?, kidney bearing tapping pain?).
- Inspection and palpation of the genitals (penis and scrotum; assessment of pubes hair (pubic hair), penis (penis length: in flaccid state between 7-10 cm/erect penis state: median length of erect penis 14.15 ± 2.66 cm (range between 4 and 26 cm); presence of: Indurations (tissue indurations), abnormalities, phimosis/foreskin stenosis, balanitis/ichelitis?) and testicular location and size (using orchimeter; size, suspicious palpation findings (palpation findings)?) Note: Penile deviation in the direction of the plaques is initially visible only during an erection (prompt patient for autophotography if necessary).
- Digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with a finger by palpation: assessment of prostate size, shape, and consistency.
- Inspection (viewing).
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.
