Inspect the External Meatus

The examiner should note the position of the external urethral meatus. It should be central on the glans. To inspect the meatus, the examiner places his or her hands on either side of the glans penis and opens the meatus. The technique for examining the meatus is demonstrated in Figure 18-20.

The meatus should be observed for any discharge, warts, and stenosis. Figure 18-21 shows a patient with meatal condylomata acuminata.

On occasion, the urethral meatus opens on the ventral surface of the penis;this condition is called hypospadias. A less common condition is epispadias, in which the meatus is located on the dorsal surface of the penis.

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