Medically Fit For Exams
Medically Fit For Exams

Male genital examination


  • Wash hands and introduce yourself
  • Check the patient’s name and date of birth
  • Explain in clear steps what the examination will involve
  • Gain consent for a genital exam
  • Explain that there will be a chaperone present, can introduce them as an assistant
  • Ask the patient to undress from waist down to thighs behind curtain, stay standing up and tell you when he is reading
  • Apply gloves while waiting






Surface and shape

Pulsation, thrills, bruits

Inflammation (red, tender, warm)




  • Look at the whole groin area, noting any:
    • Lumps
    • Ulcers
    • Swelling
    • Skin changes
    • Abnormal hair distribution
  • Part pubic hair to look for lice and smaller lesions
  • Palpate any lumps using SPACESPIT



  • Inspect for redness, swelling, ulcers, lumps, tenderness
  • Lift to inspect posterior surface
  • Note testicular position
  • Palpate testes
    • Take testis in both hands, with thumbs in front and fingers behind
    • Use index finger and thumb to palpate
    • Feel for epididymis
    • Feel testis for size, consistency
    • Feel the spermatic cord with right hand
    • If there is a swelling, determine whether you can palpate above it or not
    • Attempt to transilluminate any swellings
    • Repeat for other testicle



  • Look at the shaft
  • Check position of urethra
  • Palpate shaft for fibrous plaques
  • Palpate any lesions
  • Ask the patient if their foreskin (if present) retracts
  • Ask the patient to retract their foreskin
  • Inspect glans for redness or lumps
  • Take swab if necessary
  • Draw the foreskin back to prevent paraphimosis


  • Inform the patient that the examination is over
  • Thank the patient and allow them to get dressed behind the curtain
Male genital examination.docx
Microsoft Word document [16.4 KB]

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