What is the best way to exam or treat the penis.

For the patients, what exam of treatment of the penis is favorite for you....

And of course the same question for the doctors. What penis exams of treatment do you like to give ...

Love to hear the stories.

As a patient I would love to get an urodynamic exam. I never got one but I think that's the peak experience as a patient.

First of all, very thorough and long of course.

Starting with a testicle examination. Checking the skin and all the folds, gently rolling the testicles between the doc's fingers to check for any abnormalities.

Then a very thorough palpation of the shaft, followed by an extensive exam to see whether the patient has phimosis. A lot of slowly retracting, and palpating / rubbing all around the frenulum.

I haven’t had an exam specifically focused on the penis. Usually doctors would exam the penis along all other organs.

I would imagine that when a patient comes to see a doctor for something happening to their penis, a doctor is not going to limit the examination to penis only.

When I was growing up and getting very thorough physical exams from my pediatrician it seemed as if it was easier for him to examine my penis when it was hard. I always got erections during my physicals (starting at 13) and he would wait until I was hard before thoroughly examining the shaft of my penis.

My penis is circumcised and, in real exams, most doctors do very little that involves touching of it directly. My pediatrician would always pick it up by the head and check the meatus by spreading it open between his thumbs. Most adult doctors have just looked at it in the course of the genital exam. I have had a few adult doctors spread the meatus. One palpated the shaft from base to head.

When I have done role play examinations, with the examinee standing in front of me, I take a good look at the hanging penis and then pick it up by the mid shaft and look carefully all the way around the head. I spread the meatus between my thumbs, and then palpate all the way from base to shaft. I then examine both testes, do both hernia exams, and finish with the rectal exam.

My favorite way to preform a play genital exam would be to tell my patient that it is time for me to check his penis and remind him that it is ok and natural if he gets an erection. I start by taking measurements of the flaccid penis. Then, I palpate the shaft. In an uncircumcised patient I retract the foreskin and evaluate the head. I will gently squeeze the urethra and look to see if any discharge is present. If it is, I will insert a cotton swab to collect the specimen. At this point my patient is typically hard and I would repeat measurements.

As a patient, I would love to have a urodynamic test. I have never had one, and I would like to experience what it is like to have the probes inserted into the urethra and anus. I imagine it would be a great experience.

In a real exam the Doctor doesn’t usually feel my penis, but sees it when lifting my testicles.

I did have a problem with a tight foreskin, and the Doctor then spent some time dealing with it. Not unpleasant and my penis did stiffen!

Best “treatment” for a penis is inside a woman.!!

I'll first answer based on how I've been treated, which I believe wasn't too bad in term of thoroughness.

Steps include

- Visual inspection

- Palpation of penis and scrotum: more focused on scrotum at the start of puberty but moved on to the penis itself later. The only time the doctor touched my penis when I was 12 was to lift it up to facilitate an access to the scrotum.

- Retraction test: mind you, I was circumcised, but inspecting my penis while flaccid might have required this, for it to go all the way back.

- Tanner staging: no orchidometer or measurement, just assessment after the first step

- Erection Response Test (only 1 time at eighteen): a few strokes but done by the doctor, not really erected but my member did react.

But here are what I think SHOULD be done to all males, especially from puberty onwards --> pre-employment exams

- The steps above consistently.

- Penile measurement (length and girth, flaccid and erect) to end those male insecurities. Let the doctors solve this problem once and for all.

- Semen collection to ensure fertility.

I enjoy the most when the doctor does a very thorough and long manual exam of the genital area: palpating the shaft, retracting the foreskin several times, examining the glans, frenulum and meatus, palpating the testicles.

Simple but always amazing!

@npakxo

> “At this point my patient is typically hard and I would repeat measurements.”

This simply does not compute for me. If I were having my penis inspected I’d be hard before you had my pants down…

I'm thinking sounding with increasing size dilators to help open up my urethra

I should say that examination of the testicles is just as important as that of the penis.

For adult males, the patient should either be naked or bare below the waist.

The patient should lay on the examination couch,

The groin should be probed by the fingers gently but firmly.

For uncut penises the foreskin should be retracted.

For all the meatus should be visually inspected.

The penis shaft should be felt along its length,

The testicles should be lifted and felt, each in turn, and then together,

Whist doing this, the patient would be asked to cough.

If the patient has problems with the penis erecting, then the penis should be massage to try and induce erection and possible orgasm.

I had and loved the urethral pressure profilometry and also some nice penile nerve conduction studies with electrodes placed on the glans but what I enjoyed more are pre-surgical penile examinations and their long manipulations of prepuce.

The only penis exam I've had at a real doctor was pre-vasectomy. Basically a quick look and some palpation of the testicles, scrotum, and cords. Not much for the penis itself.

In play exams, I enjoy it when the doctor examines the penis in great detail and in multiple positions. Palpate the full length, spread the meatus, perhaps use a swab, induce an erection, etc. Including multiple measurements is a plus.

I previously posted this in response to a similar question.

A male genital exam should include measurement of the penis both length and girth in both the flaccid and erect states. Girth should be measured at the base, mid shaft and around the corona of the glans. Each testicle should be measured using a caliper or compared with an orchidometer to determine its volume. The doctor should examine the skin of the penis and the scrotum for any indications of lesions or irritations. The frenulum should also be examined to determine its sensitivity. The shaft of the penis should be palpated from the base to the tip to look for any swellings or abnormalities. Each testicle should be examined for any lumps or swelling including the epidermis and cords. For an uncircumcised male, the foreskin should be fully retracted to allow for a proper examination of the glans as well as to determine whether the patient suffers from phimosis which impedes the full retraction of the foreskin. The doctor should also note whether the patient has any smegma present under the retracted foreskin. The glans should be gently squeezed to allow the doctor to spread the meatus for examination. The shaft of the penis should be "milked" from the base to the meatus and any discharge should be noted and collected for examination. With the patient standing, the doctor should examine the inguinal canal for any sign of a hernia. From a sexual performance viewpoint, the doctor should observe whether the patient is able to easily attain an erection and whether the patient is able to maintain the erection. The doctor should also examine the patient's prostate by performing a digital prostate exam. During the prostate exam the doctor applies gentle pressure to the center of the prostate and observes the patient's penis to determine whether the patient is releasing any pre-ejaculatory fluid. If so, the fluid should be collected for examination. The doctor may wish to continue to massage the patient's prostate in order to increase the patient's arousal level prior to obtaining the semen sample. The semen sample should be collected for examination and evaluation. The sample can be collected either by the patient masturbating or by the doctor masturbating the patient. Care must be taken to collect the full ejaculate as it is produced.