In 1996, while working a low end, blue collar temp assignment at a warehouse, I was offered a permanent position job where the golden standard for preemployment was the DOT physical -- even though no DOT licensing was involved.
I called the mom & pop Occupational Safety medical facility that did all their workman's comp & DOT physicals. It was run by both a male & female physician, & when I called it was the female physician I spoke to. She told me emphatically that I would undergo an unobserved urine test, scrotal & inguinal hernia exams, a specific penis exam for lesions & other anomalies; & have my uretha swabbed & cultured for "infectious discharge" . (I later saw documentation that confirmed this as a part of DOT physicals)
Absolutely sick with disbelief! With butterflies in my stomach I thought, "what nerve! THAT for a near minimum wage job"? This exam protocol, zealously delineated to me by that domineering female doc (who clearly liked the power trip) also made my naughty parts tingle! It seemed a medical fetish "Fools Paradise" with everything except a DRE! That lady physician was Hellbent on doing those intimate exams, & even failed to tell me I could refuse them, but in her venue probably wouldn't take "no". (Also, no guarantee her male counterpart wouldn't perform the exam either!)
Ultimately, my intellectual, moral & political "inner voice" told me I didn't want any part of that subjectifying, scummy bullying & manipulation of poor workers. I quit that temp assignment on the spot & got employment from those less interested in my reproductive health.
I've asked around to truck drivers & their wives, who mostly denied even having the hernia exams, let alone the rest..I would guess at least 60% of doctors bypass that segment as bullshit. The rest day "it's on the exam so I'll do it?"
For shits & giggles, I recently did some research on contemporary DOT physical requirements. The urine tests are now supervised & observed. The hernia test still there, but the ubsurd, illogical penis & vaginal urethra tests seem absent..
Curious. Why even think of doing such tboroughly intimate exam in the old days to a bus or truck driver? Did they used to steer their vehicles with their dicks, but don't anymore?