Testicular Exam at the Urologist

Today I went to see a urologist for a testicular exam and to talk to him about the quality of my erections.

The nurse had me go into the bathroom and pee in a cup. Then, she took me to an exam room and told me to wait for the doctor. I sat in a chair and waited. I was disappointed that she didn't tell me to undress.

When the doctor came in he asked why I came in today. I explained to him that I had had hernia surgery and was concerned about my testicles, and I told him about my erections not being as hard as they used to be.

He told me to stand up and let him have a look at me. I stood in front of him and dropped my pants and underwear.

The doctor looked at my testicles for at least 30 seconds before touching them. He took hold of the right one rolled it around and felt his way up the cord. He took hold of the left one rolled it around and felt his way up that cord.

He just sat there for what seemed like a whole minute holding on to my spermatic cords. He gripped them more firmly and and wrapped his hands around the cords pushing the testicles down. He pulled on them gripping tightly.

He said, "Tell me if I'm hurting you." He squeezed and pulled on my testicles for about five minutes. He did not let go once. I began to feel the stirrings of arousal. My penis got large and flaCcid, but it wasn't as large as it can get.

The doctor let go of my testicles and looked at them. He talked to me about their position and nudged then with his fingers. He ran his hand across my abdomen, across the surgery scar. He said that everything was OK.

I wanted him to keep touching me, but in the moment I couldn't think of anything to say.

Next, he told me to turn around and bend over. "I want to check your prostate." It sounded more like an order than a request.

I bent over, and by this time my pants were around my ankles. He lubed his gloved finger. He directly and forcefully ran his finger (fingers?) into my anus. I felt him push down on the prostate, and I could feel my anus stretching. "Does that hurt?" he asked.

Then it was over. He handed me some paper towels as I stood there with my pants pooled around my ankles. He opened the door and went out leaving me to clean up.

He came back in and gave me sample packs of Viagra and Cialis. He wants me to try these out and come back in three weeks. He said, "We'll talk about your erections some more then."

I am really hoping that my next visit will involve an exam, but I'm afraid it may just be a consult. But than again, maybe he's dreaming about my smooth balls, my flat stomach, and my creamy white thighs. One can hope!

Oh no here we go again with wishful thinking fantasies. Doctors simply don't dream of any imagined assets of any patient. Dream on.

Liquidsky, this IS the fantasy section!

Oh no! I'm sorry. I'm too quick on the draw. Blew my own foot off.

@liquidsky said

Oh no here we go again with wishful thinking fantasies. Doctors simply don't dream of any imagined assets of any patient. Dream on.

@Switchablesusie said

Liquidsky, this IS the fantasy section!

@liquidsky said

Oh no! I'm sorry. I'm too quick on the draw. Blew my own foot off.

They are a protected species in this section, Liquidsky. Hunting here could amount to poaching. 😁

As a child I had quite many visits to the urologist due to undescendent testicles.

Today I found old records in my medical card of those visits and decided to use AI to read through doctors bad handwriting and share how this condition was treated ~20 years ago. I think it is quite interesting, word by word from a real andrologist:

March 12, 2004. Andrologist Consultation.

Birth via Cesarean section. Age: 8 years old. Since age 5—pathological weight gain. Both testicles are migrating. A course of Human Chorionic Gonadotropin (hCG) was previously administered at age 5.5.

Physical Examination: Adipose tissue coverage is elevated. Fat distribution is of a feminine type. Lipomastia.

Genital Examination: The right testicle can be manually lowered into the scrotum during palpation. Testicular volume is between 7 and 9 milliliters. The left testicle could not be manually lowered into the scrotum. Penis length—4 centimeters. Foreskin is elongated.

Laboratory Results: Luteinizing Hormone - 0.1. Follicle-Stimulating Hormone - 0.1.

Diagnosis: Bilateral cryptorchidism, hypogonadotropic state.

Recommendations:

1. Two courses of Pregnyl 1000 units, intramuscularly, 2 times a week for a total of 9 injections—with a 2-month break between courses.

2. Diet, sports, high-protein cleansing days, breath-holding sessions.

March 18, 2004.

Progress: Penis length—4.8 centimeters. After 3 injections, the testicles have descended into the scrotum. Testicular volume is between 7 and 9 milliliters.

Recommendations:

1. Repeat the treatment course in 2 months.

2. Follow-up appointment in September–October 2004.

3. Blood tests for: Luteinizing Hormone, Follicle-Stimulating Hormone, Testosterone, and Estradiol.

October 1, 2005.

Status: Patient was seen and treated 3 months ago.

Examination: Testicular volume—between 7 and 9 milliliters. Penis dimensions—7 centimeters by 1.2 centimeters.

Observations: Hypernutrition. The scrotum is underdeveloped.

Lab Result: Luteinizing Hormone - 0.1 (decreased).

Recommendations:

Phase I:

1. Bio-Zinc 8 milligrams daily for 1 month.

2. Vitamin E 100 milligrams twice daily for 1 month.

3. Thiocetam 1 tablet daily.

4. Riboxin 200 milligrams 1 tablet daily.

Break for 1 month.

Phase II:

Repeat the same course for 1 month.

Break for 1 month.

Phase III:

Chorionic Gonadotropin 1000 units, intramuscularly, 2 times a week for a total of 10 injections.

October 25, 2005.

Status: No further treatment followed since the last visit.

Examination: Patient age approximately 10 years. Weight 50 kilograms. Both testicles are in the scrotum. The left one is migrating.

Genital Measurements: Right testicular volume - 9 milliliters; Left testicular volume - greater than 7 milliliters. Penis dimensions—7.2 centimeters by 1.5 centimeters.

Diagnosis: Testicular hypoplasia. Hypothyroidism?

Recommendations:

Phase I:

1. Riboxin 200 milligrams twice daily.

2. ATP 0.01 grams, 3 times daily under the tongue.

3. Glutamic Acid 0.25 grams twice daily.

Phase II:

Pregnyl 1000 units every 5 days, intramuscularly, for a total of 6 injections.

General Advice: Diet, sports, exclude carbohydrates.