Examination | Visit to the urologist 1/1

I have a history of kidney stones so I get a yearly visit to the urologist. All of my previous visits (4) have consisted of a CT scan followed by a consult visit and that’s it. Today I showed up for my appt, before getting the CT scan I asked if it could affect sperm quality because my wife and I are currently in an IVF cycle. They advised me to forgo the CT scan. I was called back for my appt a little while later. After being put in a room I was told someone would be in shortly to take my BP. A male med assistant came in and took my BP manually and my pulse and said the provider would be in shortly. About 10 mins later a young female PA entered, I explained why I skipped imagining. She asked me how things were going, family history, etc. Was told I had microscopic blood in my urine and she would like to do a follow up ultrasound in 6 months and possibly a scope of my bladder depending on what they saw in the ultrasound. Then she said she’d like me to get blood drawn for PSA levels. Seemed like that was the end of the visit and then she said ok if we do a rectal exam. I’d tried to not seem to excited and said yeah I don’t mind. I was instructed to lower my pants and underwear and to bend over the end of the exam table. She snapped gloves and said the gel will be cool. She spread my cheeks with one hand and smoothly buried her short finger in. I’ve had many rectal exams and she was more gentle than most. It was over quickly and I did get the start of an erection. After she everything felt fine, there are tissues and feel free to use the sink. And she walked out before I could even fully stand up.