A complete male genitourinary assessment addresses each of the following as indicated by the patient’s condition and orders, performed with consent, privacy, and a chaperone per policy, and compares each finding to baseline.
Voiding status — stream, hesitancy, frequency, nocturia, incomplete emptying, and any inability to void, in the context of benign prostatic hyperplasia or obstruction.
Urinary retention — suprapubic fullness or distension and the post-void residual where measured (bladder detail in Urinary/Renal).
Scrotum and testes — swelling, masses, tenderness, and position, and any acute severe pain.
The inguinal regions — for a hernia and, critically, whether a hernia is reducible or incarcerated and tender.
Post-operative urologic status — the surgical site or catheter after prostate, scrotal, or other urologic surgery, and the signs of bleeding, infection, or obstruction.
Indwelling urologic devices — a catheter for retention or a urologic drain (catheter care in Urinary/Renal; drains in Lines/Drains/Devices).
Genital and perineal skin — briefly, with the detailed skin exam documented in External Genitalia.
Infection signs — local and systemic, including the perineal and scrotal signs that can indicate a necrotizing infection.
Pain — its character, severity, and acuity, distinguishing chronic from acute severe pain.
The patient’s adherence to catheter care, post-operative instructions, and voiding precautions.
