Method Of Exam

Scrotum

• In standing position inspect the scrotum for size, symmetry and position.
• Lift the scrotum and evaluate the underside and posterior surface.

Testis

• With gloved fingers feel the testis and note the size, shape, consistency and sensation. Note their relative position to each other.

Epidydimis

• Feel for epidydimis immediately behind testis and note the size, consistency and tenderness.

Spermatic cord

• Palpate with fingers the spermatic cord along the course from epididymis to superficial inguinal ring.
• Identify both vas within scrotum.
• Seek varicocele--valasalva if none obvious.

• Loose wrinkled pouch with two compartments
• Left half of scrotum and left testis are lower than the right.
• The skin is corrugated.
• Testicles are ovoid 3-5 cms in size with a smooth surface. Size amy vary between individuals. Both Testicles are of same size in a given individual. Compression results in a deep unpleasant visceral pain.
• The right testicle lies in a higher position than the left.
• The epidydimis: Typically found on the posterior surface of the testis like a crescent. It is soft and uniform in character. Tender when sqeezed.
• The Spermatic cord. Distinct cord like structure.