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GU Organs

Genito-Urinary Examination Robert C. Flanigan, MD Albert J. Jr. and Claire R. Speh Professor and Chairperson Department of Urology Loyola University Medical Center Stritch School of Medicine. GU Organs.

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GU Organs

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  1. Genito-Urinary ExaminationRobert C. Flanigan, MDAlbert J. Jr. and Claire R. Speh Professor and ChairpersonDepartment of UrologyLoyola University Medical CenterStritch School of Medicine

  2. GU Organs • Internal -Kidney - Ureter - Bladder - Prostate - Seminal vesicle - Vasal ampulla • External - Penis - Testis - Epididymis - Vas deferens - Spermatic cord

  3. Kidney • Palpable only in children and lean adults • Enlargement - Hydronephrosis - Tumor - Perinephric pathology • Renal pain - Palpate in CVA - Pyelonephritis - Urolithiasis

  4. Ureter • Impalpable except when massively dilated in children • Traumatized by GSW and stabbing over a wide area of abdomen and back • Best examined radiologically

  5. Bladder • Extraperitoneal organ in adults • Palpable above pubis in midline • Dull to percussion • Compression elicits pain • Distension - Urinary retention - Displacement

  6. Prostate • Palpable by DRE • “Chestnut-sized, squash ball consistency” • Enlargement in 30’s • Examination - Position - Landmarks - Prostate features • Radiologic imaging

  7. Seminal Vesicle • Impalpable except in rare cases • Lies postero-lateral to prostate • Function • Radiologic imaging • Enlargement - Tumor - Ejaculatory duct obstruction

  8. Vasal Ampulla • Impalpable except in rare cases • Lies posterior to prostate either side of midline

  9. Penis • Anatomy • Abnormalities - Meatus - Prepuce - Skin - Erectile chambers

  10. Testis • Dimensions • Consistency • Enlargement - Testis versus entire hemiscrotum? - “Get above mass?” - Tenderness?

  11. Vas Deferens • Difficult to palpate except through practice • Fibrous, mobile cord • Presence vs absence

  12. Epididymis • Posterolateral to testis • Anatomic parts • Enlargement - Inflammation/infection - Tumor - Obstruction

  13. Spermatic Cord • Varicose veins (Varicoceles) • Lipoma • Hernia

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