Showing 21-32 of 32 for: Essential Evidence Topics > Male genitourinary 
- Puberty (normal)
Essential Evidence Topics, 18-Aug-2021
Overall Bottom Line: Normal pubertal development should begin by age 13 in girls and age 14 in boys. Most patients with pubertal delay have constitutional delay and progress normally into puberty without intervention. Reassurance and repeat physical e
- Puberty (precocious)
Essential Evidence Topics, 24-Mar-2023
Overall Bottom Line: Pubertal development in boys before the age of 9 years is precocious. Pubertal development in girls before the age of 8 years is precocious. Precocious puberty may be a sign of a serious underlying medical condition, potentially l
- Sexually transmitted diseases (gonococcal infections)
Essential Evidence Topics, 11-Jun-2022
Overall Bottom Line: The United States Preventive Services Task Force (2014) recommends screening all women age 24 years and younger and those who are older and at high risk for chlamydia or gonorrhea infections using a nucleic acid amplification test (NA
- Syphilis
Essential Evidence Topics, 20-Apr-2021
Overall Bottom Line: Screening is recommended for all pregnant women and any other individuals at high risk for disease. Diagnosis requires positive darkfield microscopy or a positive venereal disease research laboratory (VDRL) test or rapid plasma reag
- Testicular cancer
Essential Evidence Topics, 10-Aug-2022
Overall Bottom Line: Men presenting with a solid, firm testicular mass are presumed to have testicular cancer until proven otherwise. Ultrasound is the best initial diagnostic test. Histologic evaluation is required for all men with confirmed testicular
- Testicular or scrotal mass
Essential Evidence Topics, 5-Jul-2021
Overall Bottom Line: Always consider testicular torsion in the patient with an acutely painful scrotal mass, and arrange for emergent urologic referral if that diagnosis is suspected. Consider an intratesticular mass testicular cancer until proved other
- Testicular torsion
Essential Evidence Topics, 3-Sep-2022
Overall Bottom Line: Key exam findings increasing the likelihood of testicular torsion include an abnormal testicular lie and an absent cremasteric reflex. Doppler ultrasound or scintigraphy can be used for diagnosis, provided that one of these tests is
- Testosterone deficiency and replacement
Essential Evidence Topics, 19-Jul-2022
Overall Bottom Line: Testosterone deficiency is associated with sexual dysfunction, osteoporosis, depression, obesity, and decreased physical performance. These symptoms may warrant evaluation for androgen deficiency syndrome and treatment. Laboratory a
- Urethritis (male)
Essential Evidence Topics, 28-Jun-2022
Overall Bottom Line: Suspect urethritis in sexually active men who present with dysuria, urethral pruritus and/or penile discharge. Gram stain of urethral secretions and urine testing can be used to confirm the diagnosis. All men with suspected or confir
- Urinary retention
Essential Evidence Topics, 23-Jul-2020
Overall Bottom Line: The best predictors of acute urinary retention (AUR) are a sensation of incomplete bladder emptying, weak urinary stream, having to void again after <2 hours, and use of adrenergic or anticholinergic medications. History and phys
- Varicocele
Essential Evidence Topics, 16-Jan-2023
Overall Bottom Line: Diagnosis can be made with typical "bag of worms" physical examination finding, usually above the left testicle. If diagnosis is unclear, ultrasound can be used to confirm. Varicocele repair may improve sperm parameters and fertil
- Vasectomy
Essential Evidence Topics, 25-May-2022
Bottom Line: Vasectomy is an effective, safe, and cost-effective option for permanent contraception with a failure rate of <1%, complication rate of 1% to 2%, and cost range of US $350 to US $1,000. Consider diazepam 10 mg orally one hour before proce
