I had a hernia exam in my teens where the doctor pulled my boxers down himself. I was laying down and after the abdominal exam he undid my pants, pulled the waistband of my boxers down and checked me for a hernia.
He didn’t even say what he was about to do before, I found that out by suddenly feeling a gloved hand between my legs. Just “invited himself downstairs” so to speak.
This reminds me of a discussion I discovered recently by some nurses here:
http://allnurses.com/nurse-practitioners-np/are-you-supposed-1054549-page2.html?s=68beb910ef2e721e5d32fe92548838cd
One response reads in part:
“... here's how me and the other NP at the clinic I work at do for boys from 8 to 18:
1. With one hand, pull down the front of the boy's waistband.
2. Make a mental note of the tanner stage of their genital development and pubic hair growth.
3. With the hand not holding the waist band, quickly feel each testicle (to make sure they've descended in younger boys and to make sure there are no masses in older boys).
4. If the boy is there for a sports physical, do a hernia check.
5. If the boy is uncircumcised, test how far their foreskin can retract VERY GENTLY (so it isn't harmed if it can't retract)
6. Release waistband.
This should take less then 5 seconds (10, if you have to check for hernia/phimosis).”