Urologist Visit

I was age 56 when I recently saw a urologist for the first time for a routine prostate cancer screening.

I called my primary care office for a physical knowing that the last physician assistant (PA) I had seen when I was age 50 was no longer there. She had left the office and subsequently passed away. I read her obituary in the paper a few years ago. The office automatically scheduled me with another PA. When I got into the exam room I knew things were going to be different this time. The nurse the first time (six years earlier) had asked me to undress completely before putting on the gown. This time the nurse said take everything off except my underpants before putting on the gown. The exam at age 50 included a genital exam and DRE to check my prostate. This time the PA said she did not feel qualified to check my prostate and would refer me to a urologist. She did not examine my genitals. She said she was the provider that typically did the gyn work at the office. 😮 I am wondering why they scheduled me with her. They must have just automatically transferred all the patients between the two PA's. She did order a blood draw but did not include a PSA. I did not catch it until I saw the results and immediately called to see if they could run it with what they had. No such luck.

The nurse at the urologists office showed me to a bathroom and handed me a container for a urine sample to leave in the bathroom. When I exited the bathroom she then took me to an exam room, had me lay back on an exam table, raise my shirt and unbuckle and lower my pants so she could do an ultrasound of my bladder to see if there was too much urine after just having relieved myself. There was a wait after she left and before the urologist came in. He arrived and we discussed why I was there. While he remained seated and snapped on exam gloves he had me stand, lower my pants and underwear to below my knees and raise my shirt to above my waist. He examined my genitals and did a hernia check. He then had me turn around and lean over the exam table while he did the DRE and commented that my prostate was small. As I put my clothes back together he said he was giving me two lab orders for PSA tests, one now and one for in a year. I was not to ejaculate or do any strenuous exercise for 48 hours before the test. I commented that no one had told me that for the two PSA's I had 6 and 3 years earlier. The one at 3 years was for life insurance. He also said to wait a few days before having the PSA since he had just palpitated my prostate. I followed him out of the room and the receptionist gave me the two lab orders. They include the note about abstaining from sexual relations and excessive exercise for 48 hours prior.

I was in my 40s, referred after finding traces of blood in my urine. After a renal ultrasound, it was determined that I had a stone. A week or so later, I had lithotripsy to shatter the stone.

The next time was a few years later for ED.

I think I was probably 47. After four years as a type 2 diabetic, it was starting to affect my ability to get erections when I wanted them.

Fortunately I have not had a kidney stone. It is supposed to be the worst pain known to man (even worse than childbirth). I did see a urologist for fertility counseling. I had a varicocoel surgically ligated later to elevate my sperm count. The result was my son who is now 24 and a joy and delight forever.

I was in my late 50s when I saw an urologist for the first time. I had a bleeding episode, which he thought was related to an enlarged prostate, fortunately not malignant. As it turned out, hypertension had caused a small blood vessel to rupture, something that recurred a couple of years later, it was repaired and I haven't had a problem since. I do have my PSA checked regularly and have an annual DRE.

I have never been to a urologist but i would like to get a check by a female urologist in the early future. I´m more comfortable with female doctors, especially at intimate exam.

Had to go when I was 19, I had testicular torsion in my right testicle. I had to have surgery to repair the torsion.

The first time I ever visited a urologist was when I was just ready to turn 65. My annual physical lab results showed my PSA level had gone up from the low "3s" to 4.15.

The urologist on the first visit did a DRE after a few brief questions. The DRE knocked my socks off compared to what GP conduct. The urologist out one big finger in my rectum, did a sweep for size and abnormalities, and then did a FIRM push on my prostate that sent a tingle to the tip of my penis. He announced my prostate was normal in size and firmness.

After this visit, he decided to schedule a cystoscope followed by a prostate biopsy (not on the same day...).

I arrived for the cystoscopic exam and was led into an exam room with an exam table with another roll-around cart with a monitor and Welch Allyn cystoscope (likely 4mm tip...). A female nurse had me undress from the waist down and then had me climb up on the table. She draped me with a paper drape that had a penile opening. Once I was comfortable, she introduced a syringe of lidocaine gel into my urethra and left while the gel did its work.

About ten minutes later, the urologist and the same nurse returned for the exam. He inserted the borescope into my urethra and deftly slid it down my urethra and eventually into my bladder for examination. The only "pressure" I noted was the borescope sliding through the prostate itself. The doctor then filled my bladder with sterile saline solution and we both investigated the entire interior wall of my bladder with negative results. He eventually slowly removed the borescope while examine my urethra and noted no abnormalities there either.

Once the exam was done, I was led to a bathroom where you were to urinate through a measuring device to gage the amount emptied from the bladder and its flow rate as well. I seemed to pass that test as I was not given the Big Pharma "hard-sell" for flow drugs.....

Two days later I returned for my prostate biopsy which ultimately determined my PSA number was "false-positive" of sorts. I can relate details of that exam if people are interested in that; I may have already done so back in 2012 if you search for it.

I had a cystoscope inserted 3 times in the urologist office and the male doctor was the only one present. The nurse just took vitals and had me undress and sit on the table. The doctor came in and put the numbing get in my penis and then inserted the scope. Also had a prostate sonogram just before the cystoscope to check size of prostate and if there were any lumps.

First time was at 44 years old for erectile dysfunction.

I was referred to a urologist when I was about 40 years old. Some blood was noted in my urine and they wanted to rule out bladder cancer with a cystoscope procedure. The cystoscope was normal and the bleeding was determined to be the result of a prostate infection. A lengthy course of cypro cured all.

First time was earlier this year. I was having hematuria. My urologist did an ultra sound and a cystoscopy (my first and quite uncomfortable). He found a small tumor in my bladder. A week later he removed it under general anesthesia, left a Foley in for 3 days and saw me again in his office. He said it was malignant, but was non-invasive and that these tumors recur quickly. He scopes me every 12 weeks for one year and if no new tumors are found, he will scope me every 6 months, for life. His nurse tells me that I am now one of their "frequent flyers".

My one and only visit to a urologist is when I was 24 years old. I was taking cold medicine and back them I drank a lot of tea & coffee....around 3am in the morning hour...my back hurt me and I had to pee really bad...when I went to the bath room...I wasn't able to pee..so I freak out...when I turned on the light...I notice whatever urine came out was dark and I notice it was blood...of course I freaked out more and was very worried. Finally I was able to take a piss but it hurt a lot.

I didn't have insurance...but I did have money in the bank...I called a my doctor who told me to call a urologist...he gave me the name of a urologist...and I made an appointment for that afternoon. Since I was paying cash, the gave me a 1pm appointment and receptionist that made my appointment told me they had two doctors...one was a male and one was female...but only the female was available...I was a bit embarrassed for the female doctor but at this point, I didn't care...and since I'm gay...I figured what the hell.

I was very nervous as I was sitting in the waiting room...a bunch of older men were sitting and in the back I heard a man scream....this made me even more nervous...of course, I was next and the nurse called me back into the exam room and was handed a cup to piss in...I went to the bathroom and pissed in the cup...it still hurt a little bit but not that much...my piss looked normal but I just wanted to make sure.

After I pissed in the cup and handed it back to the nurse...I waited in the exam room for a while...about 20 mins later...the female doctor came into the exam room and introduced herself. We spoke and I told her that was I getting over a cold and was taking over the counter medicine and I drink a lot of tea and coffee. She told me my urine had blood in it and she then asked me to remove my shorts...and shirt...since I wear tighty whities...I was now on the exam table...she weighed me and took my blood pressure and she lowered the exam table....she felt around my abdomen, and then she had me step off the exam table...she sat on a stool and rolled infront of me and told me to lower my undies...with her rubber gloves on she felt my balls and my penis and inspected my penis...thankfully I didn't get hard.

After the exam, she told me to stop drinking the tea and coffee and stop taking the medicine...that from all the caffeine, it effected my kidneys and that is why I was pissing blood. She told me to make an appointment for next week as a follow up. Which I did.

During the week I didn't jerk off or have sex because I was so freaked out that all I did was piss...and everything felt normal. When I went back for the follow up appointment, again I was asked to go back into the exam room. Was again handed a cup to piss in..I handed back the cup...and again waited for about 20mins.

The doctor came into the room..same female doctor...and told me that my urine is clear. I was relieved. However, she asked me to undress and she had me laying on the exam table....she then felt around my abdomen once again..but this time she removed my undies and had me spread my legs and she felt my penis...this time my penis got very erect.

She then took from the wall some sort of scope and pinch my penis head. The scope had a long thin attachment that had some sort of lube on it. She inserted the lubed thin tube down my urethra. My penis is very sensitive and I came, she pulled the tube out....and she was a bit surprised.... but she had to do it again...after cleaning up....she had to insert a new tube down...which I didn't cum...after a few seconds...she told me everything looked great...and to get dressed...and I was done.

How totally ridiculous. That female urologist missed the fact that you had a kidney stone. As for the rest of the exam I have my doubts. You had an orgasm when the cystoscope was in you?

There are other improbable features to this account. Doctors never weigh or take blood pressures if they can help it. Cystoscopes don't hang on the wall either. Is it time to get the the BS detectors out?

I am going to add this not that I don't feel the same as you Liquidsky, but Doc doesn't use any medical staff in his office. He does everything himself from getting the patient from the waiting room to drawing their blood, to giving them shots to doing his own billing. I realize he is quite the exception and not the rule. But as the guy mentioned in his story the nurse handed him a cup to urinate in at the beginning of the visit. She in a normal office would have then taken his blood pressure and what not. I can't see a doctor paying a nurse 30 bucks an hour to hand pee cups to patients and stick a dip stick in the urine and read it. I mean come on now. And I do have to say if a doctor came at me with a cystoscope that had been hanging on a wall I would have kindly expressed the importance of sterility then I would have found another doctor, but hey, that's just me.

Mashie

Hey mashie nobody said she was an RN

My urologist hung scopes on the wall - in tubes filled with antiseptic.

"Nurse" could easily mean any female assistant, including trade school graduate medical assistants.

The story doesn't seem very unreasonable, just told by a layman.

But what about the ejaculation with the cystoscope inside?

Yeah liquidsky, wouldn't an ejaculation during a scoping cause some sort of "retrograde..something", or other?

As with a catheter in place it would be instant prostatitis. Steely hard erection though.

Well I have never seen the scopes hanging on the wall. I'm glad to know that they were there hanging in a sterile solution. I just can't see the logistics of that. I think mine kept them in gray containers in solution but they were sitting there on the counter.

Now as far as the nurse thing. You said and I quote, "I handed the NURSE....." A nurse is a person with a degree in nursing. She went to school for at least 1 year or longer. A medical assistant is NOT a nurse. I am not an RN either but you can bet your ass I AM a NURSE and a damn great one at that. A nurse has a license a medical assistant does not. We have to carry malpractice insurance a medical assistant does not. I can be sued if I make a mistake, I can be sued if a medical assistant or STNA under my charge makes a mistake. It doesn't work in the opposite direction. Calling a medical assistant a nurse is like calling the orderly who cleans up the operating room a surgeon. Just because the orderly is wearing scrubs just like the surgeon doesn't mean the orderly is a surgeon.

Here in Ohio medical assistants make just above minimum wage, which is what they are worth. They do a good job and provide a good service. It is in their skill set to take vitals, collect urine, dip urine, assist patients with things they need and what not. If a doctor has employed medical assistants in their office again they would utilize them as much as possible. Whether it's a nurse making 30 bucks an hour or a medical assistant making 10 bucks an hour if they are employed with that doctor the doctor is going to use them as much as possible to eliminate the extra things that they don't need to be doing, such as getting your weight or your blood pressure. It doesn't make financial sense to hire someone who is capable of doing a job and then not use them. Who does that?

Mashie

I was 8 years old and it was about a circumcision.

I was about 25 years old. I had blown out some major vein in the prostrate, and was bleeding a little. After a brief talk with the doc. he said it would heal on its own.

I was nineteen with a relapse of Prostatitis. It was very different to seeing my GP because I had several different tests to do, namely a urine flowtest and all these swabs for cultures from my urethra. The prostate massage was new too.

I was about 60--I had ED...first urologist was female and had no clue about ED!! It took me 3 different urologists before someone could help me. Then, the tests he did on my penis were amazing! Erotic!!

39 for a consult for a vasectomy. Just had my second child and I was done!

Just saw my urologist for my 6 month cystoscopy to look for any new bladder tumors. All was fine there, but I am having problems emptying my bladder, despite medications. He scheduled me for a "urolodynamic Test" in mid October. His nurse inserts a cath. in my bladder and a probe in my rectum and reads the computer print out on my bladder strength and prostate interference.

He said it looks like I may need a TURP from him. (That's where they shove a metal scope up the urethra and expand the whirling surgical blades through the urethra and shave out the inside of the prostate) I've hears horror stories about this procedure, with bleeding, clots and post op pain. I hope I can avoid a TURP.

12 or 13. I visited a pediatric urologist once a year (for three years) for a cyst on my left testicle. The cyst was deemed benign and nothing was ever done about it. Still there today and I've actually grown quite fond of it.

I would love to see an ultrasound of it some day.

I was in my thirties with what was the first appraisal of my foreskin problems and an ongoing problem with urinary tract infections.

Now I'm over sixty with an enlarged prostate and I'm faced with the prospect of laser treatment.