Rectal or genital done first?

I teach exam skills for male patients at a local medical school. We teach to examine the genitals first, change gloves and finish with the rectal exam.

I have had doctors examine the genitals and do the hernia exam without gloves and the glove up for the rectal, also wear gloves for the genital and hernia and keep the same gloves on for the rectal, but I have never had a doctor change gloves between the genital and rectal. I would enjoy having the experience you describe since I find it awkward and exciting for the doctor to wear one pair of gloves for the genital and then change gloves for the rectal.

I have always gotten a recto/vaginal done last

I always get my testicular exam , then the rectal check. it's always last.

My genital exams have always been in the order of checking my penis and urethra followed by checking my testicles and then the hernia. After the front is done, the rectal exam is done. I have never had a rectal exam first despite any number of doctors.

For me it has always been genital...then finishes with the rectal.

From what I was taught in school and known clinical knowledge, it is always genitals first. Unless of course something is specifically wrong with the rectum.

I always examine the genitals first before doing the rectal examination but the last procedure is taking a sample of the semen

Genital first, always

Well I don't know about any of you here as to getting a rectal exam . But any more I haven't had a good rectal exam in years . I think most doctors won't do them . Unless your dying or some kind of major internal bleeding . I saw my doctor just last week . An told her I was having problems With feeling like I had to go all the time . Well I have read that it's a sigh of enlarge prostate . An thought she might check . WRONG she just did a urine test an well it was a UTI . But still you'd think she want to make sure it wasn't my prostate . So why the big deal as to whether the rectal is done first . For all us guys we all hate to have a finger up the butt right . But then again I guess that's why a lot of us also LOVE things in our butt on here .

Always genital exam first then rectal

As I mentioned when I wrote the post that started this thread, I thought this was a really weird practice since I had previously only had the genital and hernia exam before the recital. The fact that it was odd and awkward made it memorable and exciting to think about later. The aspect I neglected to mention previously was that I did not make an effort to wipe off all the KY jelly the doctor used for my recital, so as I was walking across the exam room to stand in front of the doctor and take my shorts down for the genital, I could feel that jelly moving between my cheeks with every step. After the genital and hernia was over, I was too embarrassed to go back and wipe more so I was left with that KY as a reminder all the way home.

My understanding is the scrotum and testicles are examined first because the scrotum gets thick and tight when we are handled in that area. Not sure where I got this from but it makes sense. As a patient I' m the most nervous about the anal exam, so I want the doctor to save it for last!

Suggested practice is to do the rectal exam last. The reasoning is twofold. First, the rectal exam is, for most people, the most invasive part of the exam, so, when it's over it's over. Second, the patient needs to clean up afterwards. Doing it last gives the patient privacy to wipe their own ass.

Suggested practice is to do the rectal exam last. The reasoning is twofold. First, the rectal exam is, for most people, the most invasive part of the exam, so, when it's over it's over. Second, the patient needs to clean up afterwards. Doing it last gives the patient privacy to wipe their own ass.

I as said previously, this was the only time I had a physical during which the rectal preceded the genital exam. Part of why I found it so memorable was that I assumed that when the rectal was done, the exam would be over. Since I dread the genital more than the rectal, I was feeling a little relaxed when the doctor told me I could pull my shorts up and sit up on the table (I had been on my side in the Simms position for the rectal). My hopes were dashed when he made it clear that the genital was still coming. Giving me false hope that my dreaded part of the exam would be omitted and then devastating me with the bad news added further humiliation to the experience.

Never anything unusual. I prefer to being in my underwear, no gown. When the time comes my doctor has me remove my boxer briefs. First the genital exam then the prostate exam-I am naked for both exams. I then get dressed as it is the last thing she does.

In a real exam I have always had the genital done before the rectal exam. However, in play exams, I often do the rectal before the genital as my male patients are usually erect by then and ready for their sperm sample to be taken, which is always last.

The rule is, clean to dirty. The front would be done first, then the rectal/prostate.

I've never had a rectal exam before the genital exam in a regular physical and doubt that a reverse order like that would happen much. Most doctors have a routine that they follow every time and for me at least it usually involves me dropping my shorts to my ankles for the genital and hernia exam and then turning around and bending over the table for the rectal. The only time that my penis gets a look from the doctor after the rectal is if I'm at the urologist and he does a rectal exam to press some fluid out of the prostate and then collects some of it for his microscope. Not a genital exam at all.

ALWAYS genital first, change gloves, rectal, have a nice day.

My current PA knows that I see my urologist yearly for a thorough exam and a Cysto. So she pretty much skips genital, hernia and rectal exams. At my yearly, I have the Cysto first, then testicular exam, and finish with rectal exam while I'm lying on the the left side with knee drawn up.

The reason I made the post in the first place was that I had never had an exam done in the order of rectal before genital/hernia and I thought it was very weird.

Always had the genitsl exam first.

I have always had the genital exam done first. I think they save rectal for last!

Rectal last.

First genital then rectal.... cz rectal involves the use of lubes

Rectal should be last. Is it the end of the world if it's not? No, but it's just not good for patient comfort. I teach it, and was taught, genitals and then rectal.

I have recently seen my urology consultant for a check up and he did a Prostate check firstly then found it was enlarged

Genital before rectal. Not having to re-glove is a plus unless you and the patient have a latex fetish. Then by all means hear that awesome "snap snap" again!

Genital before rectal. Not having to re-glove is a plus unless you and the patient have a latex fetish. Then by all means hear that awesome "snap snap" again!

Standard of care, you do reglove between the genital and rectal. The last thing you want to do is spread possible herpes from the front to back.

I always do the genital exam first. I don't generally re glove unless there is evidence of anything which would infect the rectum.