Urethral cancer physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]

Overview

Common physical examination findings of urethral cancer include hematuria, urethral discharge, perineal/perigenital edema or mass.

Physical Examination

Appearance of the Patient

• Patients with urethral cancer usually appear cachectic.

Vital Signs

• Hyperthermia

Skin

• Pallor

HEENT

• HEENT examination of patients with urethral cancer is usually normal.

Neck

• Neck examination of patients with urethral cancer is usually normal.

Lungs

• Pulmonary examination of patients with urethral cancer is usually normal.

Heart

• Cardiovascular examination of patients with urethral cancer is usually normal.

Abdomen

• Enlarged para-aortic lymph nodes or hepatic metastases

Genitourinary

• A perineal mass may be palpated
• Swelling in the scrotum or vulva
• Urethral discharge

Neuromuscular

• Neuromuscular examination of patients with bladder cancer is usually normal.

Extremities

• Swelling in the lower extremities
• Inguinal adenopathy