NR 511 MALE REPRODUCTIVE SYSTEM –
ADVANCED ASSESSMENT (GOOLSBY &
GRUBBS, 5TH EDITION) LATEST STUDY GUIDE
2026
Types of Examination
Inspection:
• Examine the penis for lesions, ulcers, discharge, swelling, curvature
(Peyronie’s disease), and skin changes.
• Inspect scrotum for symmetry, color, swelling, or visible masses.
• Observe inguinal area for hernias or lymphadenopathy.
Palpation:
• Penis: Palpate shaft for induration, plaques, or tenderness.
• Scrotum/Testes: Palpate each testis and epididymis gently for
consistency, size (should be firm, smooth, oval, 3.5–5 cm), and
tenderness.
• Spermatic Cord: Palpate for nodules, swelling, or varicosities.
• Inguinal Canal: Palpate while patient coughs to assess for hernia.
• Rectal Exam (DRE): Assess prostate for size, symmetry, and
nodules; normal prostate is smooth, rubbery, and non-tender.
Transillumination (if needed):
• Used for scrotal masses (fluid-filled vs. solid).
Normal Findings
• Penis without lesions, discharge, or curvature.
• Testes smooth, firm, equal in size, non-tender.
• Epididymis soft, non-tender.
• No inguinal hernia or lymphadenopathy.
• Prostate smooth, rubbery, 2.5–3 cm, non-tender, no nodules.
Key Terms & Definitions
Phimosis → Inability to retract foreskin over glans penis; may cause
, irritation or infection.
ADVANCED ASSESSMENT (GOOLSBY &
GRUBBS, 5TH EDITION) LATEST STUDY GUIDE
2026
Types of Examination
Inspection:
• Examine the penis for lesions, ulcers, discharge, swelling, curvature
(Peyronie’s disease), and skin changes.
• Inspect scrotum for symmetry, color, swelling, or visible masses.
• Observe inguinal area for hernias or lymphadenopathy.
Palpation:
• Penis: Palpate shaft for induration, plaques, or tenderness.
• Scrotum/Testes: Palpate each testis and epididymis gently for
consistency, size (should be firm, smooth, oval, 3.5–5 cm), and
tenderness.
• Spermatic Cord: Palpate for nodules, swelling, or varicosities.
• Inguinal Canal: Palpate while patient coughs to assess for hernia.
• Rectal Exam (DRE): Assess prostate for size, symmetry, and
nodules; normal prostate is smooth, rubbery, and non-tender.
Transillumination (if needed):
• Used for scrotal masses (fluid-filled vs. solid).
Normal Findings
• Penis without lesions, discharge, or curvature.
• Testes smooth, firm, equal in size, non-tender.
• Epididymis soft, non-tender.
• No inguinal hernia or lymphadenopathy.
• Prostate smooth, rubbery, 2.5–3 cm, non-tender, no nodules.
Key Terms & Definitions
Phimosis → Inability to retract foreskin over glans penis; may cause
, irritation or infection.
