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Examination of the Penis

The physical examination is presented as a checklist with possible (pathological) results. Special attention is given to important findings for urologists.

Examination of the Foreskin (Prepuce)

• Retraction of the foreskin: Hygiene? Phimosis?
• Frenulum breve?

Examination of the Glans

• Width of the meatus?
• Hypospadia?
• Balanitis?
• Genital ulcers?
• Tumor of the glans?

Examination of the Penile Shaft

• Induration or angulation of the penile shaft?
• Dermatosis?
• Tumor of the shaft?

Examination of the Groin

• Inguinal lymphadenopathia?
• Dermatosis?

Neurological examination:

Bulbospongiosus reflex or older term bulbocavernosus reflex: squeezing of the glans leads to a contraction of the bulbospongiosus muscle and the external anal sphincter. The polysynaptic reflex is present in healthy individuals at a low reflex level. An increased reflex level with paralysis of the lower extremity suggests a lesion of the first motor neuron (pyramidal tract).

References

  Deutsche Version: Untersuchung des Penis'