Info on 1st urological exam

After several years of procrastination, I'm scheduled for my first urological exam in a couple weeks. I'm a 53yo male and have had progressively slow urination, no pain, straining, or blood, just slow. At my last annual physical, my GP strongly recommended seeing a urologist.

I'd be interested in hearing from anyone in the Group what to expect during the initial consult. Is this likely to be dialogue only, or will he be doing in-office procedures right off the bat? I asked my GP, and he said that it would be up to the urologist. When I booked the appt and asked the receptionist, she replied "I don't know what goes on behind closed doors" and blew me off.

I'm not scared of the dreaded cystoscope (I like cath play), but have never had this done. Reading up on the subject, an ultrasound of the bladder pre and post voiding seems to be a possibility. Anyone with real experience on this...pls chime in.

Lastly, I have two genital piercings (story for another day) but not in the uretha. Does anyone have experience with this and the response from the urologist/nurses?

Thanks.

I'm around your age and have seen several urologists over the years. (My issues were mostly about feeling like I was going too often and not being totally full/empty.)

I think you can pretty much plan on:

1)Providing a urine sample when you first go in

2)The usual dialog of symptoms and medical history

3)A genital/hernia exam and a rectal exam.

Based on the symptoms you described, I'd say there is a fairly good chance that they will have you pee into the flow test funnel for your initial sample and then do an ultrasound to see how well you've emptied. I've never had them do one on me pre-voiding. For most of my urologists, the nurse does any ultrasounds not the doctor, so if you like the idea of being undressed in front of the nurse, just lower your pants a few inches below your genitals unless they are very specific about not needing to do it. (I think they can do it without you really lowering your pants at all.)

I think a Cysto is a real possibility, but unless they are very slow that day, there's a good chance they'd do it in a follow up appointment that you'd have to schedule when you leave. For a "standard" cysto, I've never found them terribly painful or anything, just a little uncomfortable when going past the sphinctors or prostate. If the reason for your slowing is some sort of stricture (scar tissue of sorts) in the urethra, then it might be a little more painful. Anything more than a standard cysto with a bigger scope or anything they would likely do as an outpatient procedure in a day surgery unit.

If they don't find anything specific with cysto, etc. they may recommend urodynamic testing (you can google it to get a description of what they do). I really enjoyed this because I had a nice female technician.

As far as the piercings go, anything that would draw attention to your genitals likely will be noticed, but there's really no way to predict the reaction since it will vary depending on their personality. I trim my pubic hair very short, and the tech actually commented on that because her experiences were that removing the tape from the catheter was more painful for people with lots of pubic hair. So I'd expect that if you leave your piercings in for the exam, they surely will notice and the doctor at least would most likely ask some questions about when they were done, etc. just to make sure he doesn't think they have some impact. For example, even if not through the urethra, if they could potentially compress the urethra or if there is some scar tissue built up around the piercings, etc. If you take them out, you probably should still tell the doctor you have them, especially since the holes may be visible and would seem odd without the explanation.

I am 41 and went for a long time without a physical. Over the last few years I had four scrotum peircings and Apadravya. I also have about a 1 inch subinscison. I was scared shitless wondering what my doc (a female) would say when I had my physical. When I finally went,To my suprise she did her exam of my testicals, prostate and the whole 9 yards and NEVER said a word. Now I do not let it bother me in the least when I go for a visit. Even when the PA is there, because I am sure they talk among themselves. LOL 😉

I have a 2 gauge PA and have had exams with and without wearing it. The only time anything was said was when I had to give a urine sample and was told to take it out and then use an alcohol wipe on my penis before giving the sample in the container. This was to eliminate any cross contaminants from the ring. Otherwise 3 different physicians, two males and one female, never said a word about the piercing.

Doctors and nurses (real ones) are professional and not judgemental. If your's is, look for another.

You'll be pleasantly suprised....trust me....they've seen it all before, probably more times than you could imagine....nothing shocks them and they really couldn't care less...quit worrying about what the doctor will be thinking about your piercings and ooncentrate on getting satisfactory answers to all of your questions...you'll be in and out before you know it!

I was 12 years I still had my penis and was not on hormones yet when I had my first cysto. I was peeing blood.

It was done as an outpatient in a hospital some 30 years ago. My mother and I had to wait o a bench outside the cysto room and could here the man in the room moaning. When she came out to getr me I as scared as I entered the room and saw the table with the stirrups and straps on it I really got scares. After I got undressed and put on the gown I sat on the edge of the table, the next thing I remember was i was naked and the nurse was washing my penis getting me hard. After that it was just a lot pf pain as the scope was inserted into my penis. After it was done they put a catheter in me. I still remember the first time I hae to pee it was like peeing razor blades.

I started seeing a urologist around 2005 when I was 60. I was peeing slow so he had me show up with a full bladder. I had to pee into a container with a scale and timer. The device showed a restricted flow (no surprise) so I was prescribed Flomax. I frankly doubt the effectiveness of Flomax. The timer/scale device had Flomax's trademark on it. You can draw your own conclusions from this.

A digital prostate exam showed an enlarged prostate (again, no surprise). A PSA test came back 4.7. Anything above 4 is considered elevated. A biopsy and cystocopy were next. I'd been playing with sounds for years so the cysto didn't scare me or cause any discomfort. The urologist had a male assistant present and he was the one who actually performed most of the biopsy. They numbed the inside of my anus with some injections and then went through this rather involved and amusing attempt to assure me that they would be as gentle and considerate as possible while inserting the device in my anus. I didn't get a good look at it but it appeared to be about an inch or so in diameter (no big deal to an anal sex aficionado). He started to slowly apply pressure and all of sudden the device literally fell into me as though I sucked it in. I chuckled to myself as the surprised assistant let out a quiet, "Oh!", as if to say, "Wow, that was easy". The biopsy was a little uncomfortable but I wouldn't call it painful by any stretch. The biopsy is done by dividing the prostate into six sections, three on each side of the urethra and two samples are taken from each section. Of the twelve samples taken one came back positive so I chose forty daily radiation treatments as treatment. It must have worked because my PSA has consistently been around .4 and my prostate has remained a normal size even though I pee slow and don't fully empty again, especially at night. I'm reluctant to go back on Flomax because I question its effectiveness and I've read it lowers your libido. I'll take still having an interest in sex over having to get up three times during the night to pee. There were side effects from the radiation that weren't good but that's another story

My first urological exam at a urologist was when i was 13 i was sent to him due to a posiible bladder infection,i remeber being friegtened because i did not know what to expect when i was taken into the exam room my mother was told to waite outside the nurse told me to undress down to my underwear when the dr came in he asked some questions about how i felt i did tell heim i has some burning during urination he told me to take my boxers off and hope on the table he had me lay down and he put my feet in the strurrups i was completely exposed, he thourely examind my penis and testicals, did a ureathal swab and prostate eaxm while in that position, after that i was told to stand and had to prvide a urine sample while he watched

I once (in my 20's) had Chlamydia (didn't know what it was until later). As I was too embaressed to go to my regualr doctor I went to a public clinic. When I was called into the exam room two young women (med students) were there to witness the procedure. A barbed tube is inserted into the uretha to obtain a sample and it was very painful.. I remember the doctor telling me to hold onto to the side of the table for support. I wasn't really embaressed about the two girls as I was so focused on finding out the cause of my condition (seepage from my penis and painful urination). Seemed like alot to go through when it was quickly cleared up with an antibiotic.

My first was for a UTI..... I was in GREAT pain (felt like someone was sticking needles inside my penis

ACE

My regular doctor discovered that my testicles were shrunken up and became very hard during an annual physical. He sent me to have an ultrasound exam done by a younger, female technician. She was surprised at the large shackle I had in my frenum piercing but was very professional in making me comfortable with a number of rolled up blankets and one covering my naked legs up to the top of my thighs. She slathered the conductive gel on my balls and spent a delightful 20 minutes or so moving her probe over my balls and scrotum. The report earned me a visit to a urologist. My wife insisted on being with me during the exam. He was an older, heavy guy who sat on a stool and wheeled around the exam room. He had me stand and then came in front and had me drop my pants. I lowered my jeans so he could see the flower-printed panties my wife had me wear before I lowered them as well. He seemed surprised to see my hairless pubic region and the shackle in my penis.I lifted my penis up out of the way with the shackle so he could better see my testes. As they shrunk, they seemed to move up in my scrotum and were about level with the underside of my penis. He looked for a bit and then felt. He did comment on how hard they felt. He then had me turn around and bend over the exam table so he could do a rectal exam. It was kinky to have him finger my ass while my wife was watching. I knew I was full inside and when he removed his finger, he noted it was smeared with brown waste and that I was a bit constipated but my prostate seemed small. Then he wanted another more sophisticated ultrasound exam and blood tests for testosterone and prolactin. as I wiped the dirty lubricant off my bottom. This was my first visit to him but not my last by any means. He eventually removed my testes but there were a number of interesting procedure before he castrated me.

My first visit to a urologist was for a vasectomy.

I had EXACTLY the same problem last year I think it was, I posted my experiences on here:

http://www.zity.biz/index.php?mx=forum;ox=display;topic=31300

Just to add, after re-training my bladder, my flow and urgency are all back to normal.