III. Exam: Testes
- Palpate for masses
- Transilluminate Scrotum
- Solid tumor will not transmit light
- Hydrocele will glow a soft red color
- Palpate size and symmetry: Small, atrophic Testicle
- Testicle <3.5 cm long is considered small for adult
- See Testicle Size
- Causes: Chronic testicular lesions
- Orchitis (e.g. Mumps)
- Testicular Torsion
- Testicle <3.5 cm long is considered small for adult
- Palpate for Undescended Testicle
- Transient testicular retraction
- Cryptorchidism
- Check Cremasteric Reflex
- Lightly stroke medial thigh
- Ipsilateral Testicle rises transiently
IV. Exam: Epididymis, Spermatic cord and Vas deferens
- Palpate Epididymis (posterior to Testicle)
- Palpate for Varicocele (engorged testicular veins)
- Patient performs Valsalva while standing