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 of the genitals (penis and scrotum; assessment of pubescence (pubic hair), penile length (between 7-10 cm when flaccid), and testicular position and size (using orchimeter if necessary)). [See under differential diagnoses:
- Balanitis (inflammation of the glans).
- Phimosis: the prepuce (foreskin) can not be retracted or only very limited over the glans penis (“glans”);
- Paraphimosis: the prepuce can no longer be advanced over the glans penis. Acute strangulation occurs, the glans swells edematous; cyanosis (bluish discoloration of the skin due to lack of oxygen) to necrosis (local tissue death). Urological emergency!]
- Inspection and palpation (palpation) of the abdomen (belly), inguinal region (groin region), etc. (pressure pain?, knock pain?, release pain?, cough pain?, defensive tension?, hernial orifices?, kidney bearing knock pain?).
- Digital rectal examination (DRU): digital rectal examination (DRU): examination of the rectum (rectum) and adjacent organs with the finger by palpation (assessment of prostate size, shape and consistency, detection of indurations (hardening of tissue) if necessary). [Prostate abscess (encapsulated collection of pus in the area of the prostate gland); prostatitis (inflammation of the prostate)]
- Inspection (viewing).
- Cancer screening
- Urological examination
Square brackets [ ] indicate possible pathological (pathological) physical findings.
