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Among the changes that can be found in the penis, include the following: ➬Phimosis: is the difficulty of discovering the glans due to a tight foreskin. ➬Paraphimosis: is the difficulty. Examination of the Male Genitalia. How to perform a Genitourinary Examination. Physical Examination: (Male Genitalia, Rectum and Hernias) External Male Genitalia Examination file:. Description.