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When I had my first exam, the urologist examined me very thoroughly. They took a history first, asked a bunch of questions, then I had to go down the hall to another room where I was given a bottle by a nurse to give a urine sample. After that, she told me the doc would be in shortly. He came in, asked me more questions about my sex life, what other drugs I had tried, etc. Then he wanted to listen to my heart so I was asked to take off my shirt (heart disease is a cause of ED). After that, I had the genital and rectal exam of my life---much more detailed than my family doc ever did. I had to lie down on an exam table and he told me to slide down my pants and briefs to my ankles. He really looked me over; he spent a lot of time checking my penis shaft and the veins (for blood flow he said). He took a small penlight looked at the head of it and spread the pee opening and looked inside of that. He also checked my scrotum. He took his stethoscope and placed it near my thigh and pubic hair and listened there (some sort of pulse, I think he said). He also checked through my pubic hair. After that, he asked me to stand up (with my pants still down), and he did the "cough, cough" exam, then he did a detailed testicle exam. I told him that I had a hydrocele removed when I was a teenager, so he spent a lot of time checking my testicles for lumps, etc.
The next part was weird (and embarrassing---because I had to have a test called a bulbocavernosus reflex test. He told me that it tested the nerve function in my penis. He asked me if I had hemorrhoids (which I don't), then told me to squat down with my feet apart while facing him. I couldn't figure out WHY I had to do this--so he explained that he had to squeeze the head of my penis with a finger inserted into my rectum---and if I was "normal", he should feel my rectum contract around his finger. Since I still had my pants down around my ankles, I couldn't really stand with my feet apart, so he had to wait while I slipped off my shoes/socks, slacks and undershorts. I stood in front of him with my feet apart and had to squat down slightly while he reached underneath and inserted his finger into my rectum. He took the head of my penis with his other hand and squeezed and I did feel my rectum contract. It was a strange feeling, to say the least. He said that the nerve function was normal and gave me a tissue to wipe with. I finally had to bend over the table with my feet apart again. He spread my buttocks apart told me that he was going to check my anal area for hemorrhoids, etc. After that, he slipped his finger into my rectum again (much deeper this time) to check my prostate.
That was pretty much it for the exam itself. After the exam, I was able to get dressed (which was nice since I had to remove all of my clothes for last part). He prescribed trimix for me----which involved 3 more visits (and another exam) so he could do the first injection for me. That's another post!
The trimix stuff really works, too by the way.
The exam was embarrassing to say the least---especially when I became aware of being totally undressed at the end. No nurse present, though--just me and the urologist.View Thread



If you're not getting an exam similar to this, it's time to change dermatologists.View Thread




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