Palpate the Urethra

The urethra should be palpated from the external meatus through the corpus spongiosum to its base. To palpate the base of the urethra, the examiner elevates the penis with the left hand while the right index finger invaginates the scrotum in the midline and palpates deep to the

Figure 18-23 Peyronie's disease.

base of the corpus spongiosum. The pad of the examiner's right index finger should palpate the entire corpus spongiosum from the meatus to its base. This technique is demonstrated in Figure 18-24. If a discharge is present, ''milking the urethra'' may allow a drop to be placed on a glass slide for microscopic evaluation.

The foreskin, if retracted, should be replaced. Paraphimosis is a condition in which the foreskin can be retracted but cannot be replaced and becomes caught behind the corona.

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