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Examination of the Testicles and Scrotum

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

Examination of the Inguinal Canal and Spermatic Cord

• inguinal hernia?
• Palpable vas deferens?
• Varicocele in supine position or standing upright?
• Inguinal cutaneous conditions?

Examination of the Scrotal Skin

• Dermatoses?

Examination of the Testicles

• Determination of testicular size (in ml) using an orchidometer.
• Testes position: scrotal? inguinal? not palpable?
• Palpable tumor or or scrotal enlargement?
• Epididymis: Tenderness? Enlargement?

Neurological examination:

The cremaster reflex is a polysynaptic reflex: touching the inner thigh below the inguinal ligament activates the cremaster muscle and the testis is pulled upwards.

References

  Deutsche Version: Untersuchung des Hodens