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Views: 20398 Created: 2007.07.14 Updated: 2007.07.14

Tom's Examination

Tom's Examination

Waiting rooms tend to be the same wherever you go, lots of artificial plants and parsons tables heavily laden with old magazines. This one was no different apart from the fact that there appeared to be only three of us waiting to see Dr. Clark this morning. My GP had referred me to him after two courses of Ciprofloxicillan for yet another bout of chronic prostatitis, but to no avail. To make matters worse I hadn't been able to shit for three days and I was getting really uncomfortable.

To be honest doctors' offices always make me a bit nervous. I don't know why, maybe it's all those shots I seemed to get whenever I went to the doctor as a kid. Even now I would have preferred to be at work rather than here waiting for the man in the white coat.

I'd been told to drink a lot of fluid before my appointment so I kept going to the water cooler across the room between reading snippets from an old National Geographic.

"Thomas Martin" a rather attractive man stood smiling in an open doorway across the room. "Hi, my name's Jim. I'm one of Dr. Clark's nurses. Follow me please." He didn't have to ask twice. If he was trying to put me at ease, he was successful. Maybe going to the doctor wasn't so bad after all, especially if you got to look at some eye candy like this!

I followed him down towards the end of the corridor and entered a room on the left. "Just have a seat, Thomas" he smiled.

"Oh, just Tom." I was lost in thought now that I got a close up look at this guy. He was about 5'8'' or so, dark hair, and big brown eyes that sparkled when he smiled. His complexion was kind of dark, not from the sun I don't think, more from his natural olive complexion.

"Tom you're here for a urine flow test and a transrectal ultrasound of your prostate. Is that correct?"

"Yes." I paused, "Dr. Warner wanted me to get checked out to see what was causing my prostate problems."

"Did you receive an instruction leaflet in the post with your appointment confirmation?" I nodded. "Have you been drinking fluids this morning?

"Yeah. I think I'm really going to need to pee soon."

"That's okay. I'm just going to fill out this form and get your vital signs. Then Dr. Clark will see you and do the flow test."

He asked me a bunch of questions about drug allergies, health problems, and things about smoking and drinking. Then he stood up and asked me to undress down to my underpants. He took my weight and asked my height. "Now just hop up on the exam table and I'll get your temperature and blood pressure." He slid the thermometer under my tongue, a feeling I always hate, and wrapped the cuff round my arm. His hands were pleasantly warm. "120 over 80, that's pretty good." He removed the thermometer and looked puzzled. "Have you had something cold to drink in the last little bit?"

"Just some water out there while I was waiting," now I was confused.

"Never mind we'll try again later if the doctor really wants one."

He wrote something down and went out presumably to get Dr. Clark. I sat there listening to people passing outside, waiting for the sound of the doorknob turning. Sitting in nothing but my underpants I kept thinking about what would happen if the doctor stuck his finger up my ass like Dr. Warner had done, only this time I hadn't used the bathroom for three days. The more I thought about it the more embarrassed I got. I know it's irrational, after all doctors have seen it all; but the thought didn't make me feel any better. Then the door opened and he walked in.

"Mr. Martin, I'm Dr. Jonathan Clark. What if you have a seat over here." He pointed to the chair beside the small desk. He was tallish; about forty or so with reddish-brown hair cut short. He was ruggedly handsome, the sort you might see in a leather bar in chaps, butch but with a certain something. Maybe I was imagining things in light of what happened later, I don't know. All I was sure of was that I didn't want this guy poking and prodding my cock. That might prove too embarrassing for words. Why couldn't he be old and grandfatherly like Dr. Warner?

"I understand from Dr. Warner's referral that he thinks you may have chronic prostatitis." He continued, "He says something about a urinary tract infection you had three years ago. Is that true ?"

"Yeah, I had to pee all the time then, but he put me on antibiotics and it cleared up, or at least I thought it did."

"What sort of symptoms are you having now?"

"A few months ago I went to him with some really bad pain in my testicles. You know, bruised, like someone had kneed me in the crotch." I drew breath and looked for a reaction from Dr. Butch. None was forthcoming. "That's not so bad now, now I'm having." Did I really want to get into this? If I say it I know what will happen. Oh, hell, I'm miserable. Bite the bullet for heaven's sake. "I've been having pain inside, behind my balls." Oops, there goes polite speak, I cringed inside.

"In your abdomen?" Dr. Clark asked.

"Not exactly, sort of underneath and inside." I recovered polite speak, the kind of thing we had in sex education in school. "The muscles around my anus and up inside."

"So how long have you been having this rectal pain?"

"Since it all started, I think. It was all going on with the pain in my testicles, but has gotten worse."

"Does it get better after a bowel movement?"

"No, that just makes it worse for a couple of hours. I mean it hurts when I feel like I have to go to the bathroom. Sometimes I can't go and it still hurts."

"Is that a sharp pain or a dull one?"

"Dull most of the time, but pretty sharp when I'm trying to use the loo and if I cum."

"Pain with ejaculation?" I nodded. "Have you noticed any change in your bowel habits?"

"For the past three or four weeks I've been getting constipated now and then. I started using Fybogel but it hasn't made much difference."

"When's the last time you had a bowel movement?"

"Three days ago." Now you've done it! This is not going to be pleasant. Why couldn't I just shit like everybody else?

"We're going to do a routine examination and I think we ought to have a look inside your rectum with a proctoscope?" My heart sank. "I've got the urine culture results and the results from the swabs Dr. Warner took from your urethra", he paused. "Did he massage your prostate and culture the fluid?"

"He massaged it and then had me pee in a cup."

"But he didn't get a sample separate from that?"

"No, he didn't."

"It might not make any difference if you were back on Cipro. How long has it been since you were taking it?"

"I was on it for three weeks back in May, but he didn't want to give me another prescription until I'd seen you."

"Okay, we'll give it a shot just to be on the safe side. What about a semen culture, has he done one of those?"

Oh shit, if he thinks I'm going to jack off into a bottle he's got another thing coming. I looked him straight in the eye. "No, we didn't do that."

"Okay, just have a seat on the table."

I took my place on the table just as I had for Jim. Dr. Clark looked down my throat and felt my glands under my neck. When he had me hold my arms out to my side and felt the glands under my arms, it was hard not to laugh given how ticklish I am. Then he took the stethoscope and listened to my chest and then my back. "You'll need to lie down on your back. I'll listen to your abdomen." I lay down on the crisp paper. "Just need to slide these down a bit." With that he pulled my underwear down below my hips, my dark brown pubes spilling out over the waistband of my underpants. The stethoscope was still cold, its disc sending little shivers across my stomach as he moved it from place to place. "I'm going to palpitate your bladder and bowel. If it's uncomfortable at any point say so, okay?"

"Okay." He gently pressed down just below my bellybutton. "Uhm, you're gonna make me pee." I laughed half-heartedly.

"Sorry, we'll do the flow test in just a minute." He resumed gently poking and prodding my gut, almost if as he were kneading dough. He moved to my left side and made his way down. "You've got quite a lot of stool in your lower bowel." I didn't know what to say, I mean what do you say when the doctor tells you you're full of shit? His fingers disappeared beneath the elastic of my underwear.

"Ow!" I let out a half-gasp.

"Sorry, did that hurt?"

"Just a bit."

"I'm just going to gently have another go, okay?" This time he gingerly massaged his way down into my pubic hair. "The stool in your rectum is pretty hard. You said you haven't used the bathroom in three days, right?"

"That's right."

"It may be that the stools just gotten more and more dehydrated in your rectum, now it's too hard to pass easily." He stopped a moment and said, "I think we'll give you a little mineral oil enema to soften it up and see if that will do the trick."

Enema!?! That had never crossed my mind, not when you're at the doctors' for prostatitis.

"Lift up," he pulled my pants down to my knees. Suddenly I felt the cool of the air- conditioned room on my cock and balls. I don't know if it was that or the thought of what was about to happen that made them draw up. He switched on the light above the examining table and put on a pair of rubber gloves. They snapped a bit, made me wonder about the hair on his arms. I mean, you know what it's like catching your pubic hair when you're unrolling a rubber sometimes. "Can you open your legs just a bit? I'll have a gentle feel of your testicles." First the right one and then the left. He rolled them round between his thumb and forefingers, then felt up top where they join my cock. "Do you do the self-examination of your testicles?"

"Yeah, every once in a while when I think about it" he smiled encouragingly. "Especially after a hot bath."

"You've never found a lump or anything before?"

"No, but I like to keep a close eye just in case."

"That's good." He pressed down on each side with two fingers, "Turn your head and give me a cough. Yep, now the other side. That's fine, no sign of any hernia." For the first time I felt his warm breath across my naked stomach making my hair stand on end. "When did you last pass water?"

I looked towards the clock above the little desk in the corner. "'Bout two and a half, three hours ago." With that he picked up my slightly less than soft cock and stroked it up and down between his thumb and forefingers.

"Have you noticed any change in your urine, have you had to go more often than usual?"

"No, it's like it usually is."

"Any dribbling or discharge?" He opened my pee hole and softly squeezed the head. By now I was a bit more than half-erect, trying desperately not to think about it. Is it baseball they tell you to think about?

"Okay Tom, let's go next door and do the urine flow test." I followed him through a door in the corner into a large toilet and changing area. Along one wall stood some lockers. Across the room were three cubicles. One held a normal toilet, one a bidet, and in the last one was a bedside commode with a plastic container on the floor beneath the hole and a computer on a table beside it. Dr. Clark set the program on the computer and told me he would wait next door.

When I emerged a few minutes later I found him and the cute nurse waiting for me. Dr. Clark said, "I'll check the results," and squeezed past me into the bathroom behind me. I returned to my place on the examination table. On a tray by it was a clear plastic thing shaped like a cross between a water pistol and a toy rocket, a box marked Fleet Mineral Oil enema, a couple of plastic containers, and some large cotton swabs. "That's fine, Tom. Your flow is totally normal, no problems there." He handed the nurse a urine sample and came round in front of me.

"For the rectal exam you'll need to drop your pants and lay on your left side with your knees drawn up towards your chest."

I slid my pants down and lay down as instructed. The examination light went on again and I felt its warmth on my bare ass. "Just a bit further." Dr. Clark gently pushed my legs up, his gloved hand on the back of my thighs. "Now Tom I'm going to start by examining the outside of your anal area."

With that he spread my ass cheeks and ran his finger back and forth across my asshole. He spread it open and pushed gently against the closed hole. "Ever had a problem with haemorrhoids?"

"No, never," I replied. I heard a snap as the nurse opened a tube of K-Y Jelly. I watched as he squeezed some onto Dr. Clark's finger.

"Okay, Tom, this may be a little cold." With that he spread the lube around my anus and began to push his finger inside. I twitched and felt my cock begin to rise. His knuckle passed through my tight sphincter, then I felt his other knuckles pressing against the outside of my asshole. Dr. Clark's finger was as far as it could go. Without warning he began to rotate his finger inside me, back and forth sending electric waves up my spine. I pulled my right leg up hoping to hide my burgeoning erection. "There's some hard stool by my fingertips. He turned to Jim, "Lubricate the proctoscope and get ready with a swab."

Jim handed him an illuminated tube, the rocket-pistol I saw before. "Now Tom you're going to feel the proctoscope against your anal opening. It's just a bit wider than my finger, so you'll need to try and relax, okay?"

"Okay." This guy was about to shove a toy up my ass and have a look around like someone rummaging through a cupboard with a flashlight. And I was paying for the privilege! The rocket slid up where his finger had been, widening my hole as he pushed the base against my stretched sphincter. "I'm going to take the obdurator out, try not to push. Just relax." I saw Jim hand him, first one and then another long cotton swap. "Guaic this and put the rest on a slide," After a minute or two I felt the scope slide slowly out. Dr. Clark wiped the jelly off with a tissue.

"Alright Tom, I'll leave you in Jim's hands. He's going to give you a small mineral oil enema, and then a couple of warm saline ones if that's successful. Just to be on the safe side I want to have another look with a longer scope before we do the ultrasound." With that he made for the door then stopped suddenly, "Jim, did you get a temp?"

"He's been drinking so it wasn't registering properly."

"Get a rectal in that case." Then he left the room.

"Let me find you a patient gown to change into, we don't want you getting your underpants wet." He gave me a short, blue gown and I changed in the toilet. When I returned he was standing by the exam table holding a thermometer in his gloved hands. "If you'll lie down just like you did for the rectal exam."

Once I was in position he shook the thermometer, lifted my right cheek, and inserted it. As he did the thermometer spiralled between his fingers, its edges sending little electric waves around my asshole making it twitch. While we waited he busied himself preparing the little Fleet enema; twice he had to push the thermometer back up inside me repeating the electric sensations.

While he waited for the thermometer to record my temperature, he explained that I would need to hold the Fleets enema for at least five minutes to ensure effectiveness. As soon as he had removed the thermometer and wiped it clean of K-Y, he inserted the small rectal tube and began to squeeze the mineral oil into my rectum. His gloved hand was warm against my bare ass as he held it there, patiently emptying the enema bottle inside me. It took all my sphincter control to hold it after he withdrew the nozzle. After releasing it into the toilet I returned to the exam room to find a large amber enema bag hanging from a metal pole. The table now had stirrups on either side.

"Now for the next enema you'll need to come round the end here. Just sit on the end and lie back, I'll take your feet and place them in the stirrups."

I lay back as Jim lifted the front of my gown and folded it back. Because of the position of my legs the gown lay well above my cock. As Jim lubricated the rubber nozzle it began to grow slightly as I felt the blood rush to my groin.

"It's important to take as much of the enema as possible. You may feel like you need the toilet, so tell me and I'll stop the flow until the urge passes. At the base of the nozzle there is an inflatable balloon. Once it's inside I'll inflate it to keep you from passing any water, okay?" A bit dazed at the turn of events I could only mumble a response.

Only a little wider than the Fleet nozzle, I felt the rubber tube slide past my ring. "I'm going to inflate the balloon, when I tell you I want you to clench your sphincter and I'll pull the balloon back against it on the inside."

Suddenly I had the sensation of an imminent bowel movement. The balloon swelled in my lower rectum. "Okay, Tom."

I contracted my muscle and felt the balloon come to rest against the inside of my anus. Unlike the Fleet, this enema was warm and relaxing. It flowed gently up my bowel, gurgling as it went. My cock climbed across my thigh as the warm water filled my ass. It took about fifteen minutes to take the whole enema. Jim disconnected the tubing and massaged my stomach as the balloon remained inside me. He helped me up and followed me into the loo. I leant forward as told to and he deflated the balloon and Niagara Falls gushed from my bowels.

After emerging once more we repeated the procedure, this time on my side. The only noticeable difference was the nozzle at the end of the rubber tubing. It looked like a long, thin butt plug with a balloon at the base. This time Jim lubricated the nozzle and then inserted his finger. My knees were pushed up as far as they would go. There was no need to part my ass cheeks as my hole stood in splendid isolation for all the world to see. The nozzle slipped inside with little effort. It sent a shiver up my back and down into my reawakening penis as it glided over my prostate. I almost didn't notice the water, distracted as I was by the sensations coming from my "magic button" as the plug-like nozzle contracted in my grasping hole. This time my cock was hidden by the drape of the gown. I was grateful for that as, like mercury rising in a thermometer, a steady stream of precum began to drip from my cock head.

When Jim helped me off the table, I saw that I had "spotted" the blue gown. I gathered it in my hand and hoped he hadn't noticed. Once on the toilet he removed the nozzle. This time everything was clear, my bowel was empty.

Dr. Clark was waiting at the foot of the exam table. He had a tray with a long scope and a tube of K-Y. A moment later Jim entered the room pushing the ultrasound machine. He parked it by Dr. Clark. "Tom, we're going to start with an ultrasound of your kidneys. I'll spread some gel on your abdomen and between your scrotum and anus so we can get some pictures from below. After that I'll lubricate the rectal probe and place it inside your rectum. It may be a little uncomfortable, but it shouldn't hurt. Tell me if it does."

With that he motioned towards the table and I lay down as before, my feet in the stirrups, my hands folded across my chest. Dr. Clark pushed back my gown and spread some cold gel on my stomach. Jim turned the lights down and the machine flickered to life. Dr. Clark drew the ultrasound thing back and forth across my abdomen and then applied more gel to my bottom. The probe massaged my muscles as he pushed it flat against my body. The screen was filled with a dull green picture that reminded me of the weather radar used on the news. I couldn't tell what I was looking at, so I just resigned myself to enjoying the stimulation beneath my balls.

After several minutes, Dr. Clark opened a small packet. Inside was a condom, which he deftly unrolled down the slimly penile form of white plastic. He laid it aside and sat down on the stool that Jim brought from across the room. " Just need to check that your back passage is all clear. Take a deep breath and try to relax, the scope is just a little longer than before."

Lubrication was now applied to my asshole, first in circles on the outside, then moving with pressure as one finger pushed inside me again. As before it went all the way in and then proceeded to open me up as he circled around and around my rectum. The proctoscope replaced his finger. Satisfied with what he saw, or didn't see, it was soon replaced by the sensation of the bulbous head of the rectal probe pushing against my ass ring. It passed over the probe, engulfing it as it went deeper and deeper. With a twisting motion the "head" explored every square centimetre of my lower rectum. The contact with my prostate was not as pleasant as before, it was harder and a bit uncomfortable. I felt my cock pull closer to my body, as if it were trying to escape.

"Do you see these marks? They're prostate stones. See here, they are blocking off the ducts in your prostate causing it to swell up with retained fluid. When was the last time you ejaculated?"

"I don't know" I replied, "a couple of weeks ago. I haven't really felt like it, coming makes me sore afterwards." With that he withdrew the probe and the lights went on again.

"From what we've just seen, you kidneys are fine. Your urine flow was normal. With all those stones blocking the ducts inside your prostate, you may be harbouring bacteria inside the prostate. I'd like to do a prostate massage to try and open it up a bit and possibly get some fluid to culture. We can then compare it with your ejaculate to see if the infection, if there is one, is restricted to the prostate or is further up in the seminal vesicles and testes." He looked me straight in the eye and I knew that I wasn't getting out of here with much in the way of dignity. "To be on the safe side I'll prescribe another round of antibiotics with the first dose by injection. Although you aren't showing symptoms of acute prostatitis, we don't want to spread any bacteria if we don't have to." He told Jim what he needed and Jim left the room. He returned a few minutes later with a vial, a shot, a couple of those culture things, and a specimen cup.

By this time I was sitting up with my legs dangling over the side of the examination table, nervously waiting for what was about to happen. Dr. Clark moved the stool and faced me. He took the hypodermic and filled it from the vial.

"Tom, you need to step down and bend over the table. I'll give you this in your buttock, it'll burn a bit." I got down and bent over the table with my arms and elbows fixed to the paper and leatherette surface. I felt rubber-covered fingers graze my ass cheeks as the doctor pushed my gown aside. A cool dab told me that an alcohol swab was wiping a spot for the needle. I half looked over my shoulder, not really wanting to see the needle.

"A bit of a sting," the needle pricked my ass, "and then the medicine." There was a burning sensation deep in my hip, he was right! The needle was removed and discarded with a clunk of plastic inside plastic. "You'll need to remove your gown." I did so reluctantly, and then was left standing completely naked in front of them. They didn't appear to take any notice, which made me feel a little better. "I want you to lay your chest flat on the table and drape your arms over the side." Dr. Clark continued, "I'm going to massage your prostate several times, then I'll ask you to stand up and face Jim. He will milk your penis for your prostatic fluid and collect some for culture. You may feel as if you want to pass water, it's just a feeling and isn't likely to happen." He nodded and I took my place across the table, my clammy chest clinging to the paper.

A snap of the K-Y Jelly tube was the only sound I heard, then Dr. Clark said, "Spread his cheeks." Jim's hands took their place either side of my ass crack. He pried them apart exposing the hair-ringed hole once more. Dr. Clark's index finger entered me without further ado. Instead of circling around as he had done before, he went straight in and began to trace the outline of my prostate gland. Without warning he poked and prodded with such force that I stood on tiptoes. "Hold him."

Jim's hand rested heavily on the top of my upturned ass, and then a bit louder, "Try to remain still."

Soon I felt movement from inside, fluid slowly rising and then falling as it made for my piss slit.

"Stand up, Tom." His finger was still inside me hovering above my battered prostate. Jim's gloved fingers gingerly ran up from between my balls and then, taking my cock between them, made several milking motions until a large glob of clear fluid trickled as slow as honey from my almost fully erect cock. Jim collected several drips on his slides and a couple of culture dishes.

"That's very good, that should be enough to culture. Go see if you can pass some water before we collect the semen sample."

When I came back Dr. Clark was gone. Jim told me that I would be lying on my back as before with my legs in the stirrups. The difference was that my ankles, waist, and thighs would be held in soft restraints to keep me from falling off the table in mid ecstasy. Jim unrolled more paper for the table and then took something from the cupboard. He placed the restraints on me gently. My cock and balls hung heavily between my legs. The way the table was set up my asshole seemed to be perpendicular to the floor. It was obvious and fully accessible.

Dr. Clark came in with a small box. He opened it and took out a white thing, I heard two small thuds and then he placed it on the table by my feet. "Tom, I want to start by stimulating your prostate and relaxing your rectal muscles. You said that ejaculation is uncomfortable and that is quite often to do with the inflammation and subsequent tension in the pelvic muscles. A little vibration therapy may help ease that."

Gloved and relubricated he worked first one, then two fingers into my pucker. Back and forth, in and out his fingers sent waves of sensation through my ass, down my legs and up my spine. Like the telegraph of old, the almost instantaneous message to my penis was "erection". It burgeoned up from my abdomen and stood at a 45-degree angle from my body. The telltale buzzing of a vibrator signalled new thrills. The fingers came out and the little white device filled my ass. It was only about five or six inches long and it was not hard plastic, it was slightly rubber-like and had a bit of give in it. Dr. Clark moved it expertly inside me, like the ultrasound probe earlier, only much more stimulating now.

My cock was blushing, as hard as it can get. The head was looking angry. Jim put on a pair of rubber gloves and squeezed some jelly into his hand. He grasped my cock and began to stroke to up and down, working the whole shaft all the way from the crown to my pubes. With his left hand he caressed my lower abdomen and fingered his way through my pubic hair to the base of my cock. Like a piston he stroked me pushing me ever closer to the edge.

All the while Dr. Clark fucked my ass with the vibrator. I quivered like jelly on the examination table. "Oh, oh I'm going to come, I'm going to come!!!"

Deftly Jim aimed my loaded organ at the specimen cup now in his left hand. The head of the vibrator was firm against my prostate. I arched my back the short distance allowed by my restraints and shot volley after volley across my stomach and into the waiting cup. This was the strongest orgasm I'd ever had. Even after I lay still, swept up in the afterglow of endorphins unleashed, great white streams ran down the sides of Vesuvius as Jim milked me to the last drop.

Jim released the soft restraints and cleaned me up. Dr. Clark examined the contents of the cup and said something about a microscope before exiting the room. I was dressed by the time he returned. "Well I didn't see anything obvious in either sample, but the cultures may show something we can get to grips with. I want to see you again this time next week, in the meantime you need to ejaculate once a day to help ease the congestion in your prostate. I'll send you home with a prescription for Cipro and an anti- inflammatory. We'll see if there's any difference next week. Oh, and we may need to repeat the massage and induced ejaculation. We'll play it by ear, okay?" He smiled.

"Sure, I'll see you next week. Thanks, Dr. Clark."

As I made my way to the station through the crowded city streets, I couldn't help thinking about how lucky one is with the wonders of modern medicine.

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