Urine sample

Does anyone include doing urine samples for the play exam ? Maybe like a supervised sample, or using a catheter to obtain the sample

I've only had one play exam so far, and we didn't do a urine sample. However, we are discussing catheterization for the next exam, so it is a possibility.

As a playdoc I like to obtain a supervised urine sample, As patient I have provided urine samples whilst being observed.

Not really, too messy.

I was just asked for one in my last exam, I have to say, I liked it. Added some more realism and was a bit of a turn on.

Sweet smelling and tasting urine was a method to detect the presence of diabetes mellitus in olden times

A supervised sample is sexy

I prefer to do a supervised urine sample in all my play exams, but I have found that if you do not let the patient know beforehand, then they always seem to have urinated just before the exam and cannot give a sample. Some of my patients do not want a urine sample taken, however, so I do respect their wishes, even though I do think it would make the exam more realistic and add a level of humiliation to the play exam by having a supervised urine sample taken. As a play patient, I want there to be a urine sample taken and feel cheated if one is not taken.

I usually ask a patient in advance if they want me to incorporate a urine sample into the exam. I prefer to include it and enjoy observing the sample because most people find it somewhat difficult (if not impossible) to go in front of someone else. That adds to the control/submission dynamic of the exam.

We use supervised sampling as part of the humiliation process. We have catheterized people, but steer away from it to avoid any infection issues.

Of course we do. For normal medical plays we have to drink a lot before and take normal urine samples. During surgical plays we use catheterization.

I always incorporate the urine sample in my play exams. Some have peed before coming to the exam, so I make them give it later in the exam even if it's just a couple drops.

As a patient I like to have a few urine samples incorporated into the exam. First - I like being instructed to arrive at the physical with a very full bladder. The the doc takes one supervised sample in a small cup, causing the patient to need to have a full bladder when getting poked and prodded for the rest of the exam. I like the doctor to incorporate an optional mid exam sample where I am positioned on the table on my hands and knees and the doc pulls my underwear down enough to hold my penis in the cup. Again a small cup causing the patient to need to start and immediately stop peeing. Finally, during the complete genital exam, the patient can fully empty in a large collection bag/container.

Q,

Very cool idea. In the real world, having prostate issues, I'm expected to pee into a flowometry toilet on arrival at the office. I'm then taken to an exam room for an ultrasound measurement of the post void residual volume in my bladder.

In play, I'd much prefer the sequential sampling and deep palpation with a full bladder. Bimanual examination with a finger deep in my rectum while the other hand is on my bladder and the doctor uses opposing pressure could be very interesting.

Crede's maneuver could also be an interesting addition

http://en.m.wikipedia.org/wiki/Cred%C3%A9%27s_maneuver

Has to be part of any thorough exam, fill the cup please. Observing does allow you to see the flow rate.

I also take a urine sample, at the beginning of the exam, as part of my taking the patient's vitals. I've yet to have a patient refuse or decline it. I have a plastic vessel that's graduated inside in ml measurements. This vessel is designed to fit perfectly on the porcelain rim of the toilet, and it protrudes down. I do always tell my patients to arrive with a full bladder, but not uncomfortably so. I also inform them that I'll need to observe the flow into the plastic vessel , to determine the nature of the stream, i.e., sufficiently fast, or slow.

So that I can better determine any abnormalities of the urine flow, I do feel and hold the patient's penis during his urination. None has ever objected. If his penis has become erect and he can't pee, I simply wait until later.

When he's finished, I check the urine's quantity. If the patient states that he arrived with a pretty full bladder, the quantity seems to average about 400 ml. I then check for color and clarity, as I tell the patient, "just like a fine diamond." That always gets a laugh. I also keep a set of diabetic strips, one of which I drop into the urine. You're looking for a color change, which will determine the presence of sugar.

After that, I have a 2-liter bottle of water that I have the patient drink as much as he can. Later in the exam, usually during the genital exam portion, I'll do another urine check. Except this time, it's as the patient relaxes on the table wherein I insert a catheter to obtain the urine flow. I allow the urine to flow into the same vessel as mentioned above, which has been placed adjacent to the patient. Many are surprised at the sudden, involuntary onset of their urination, once the catheter passes by their prostate and into the bladder.

Me next, please? You ought to write up an exam as a narrative

If i was the doctor, I'd do a supervised sample for that patient.

Here is a wonderful video from 1965 which shows the doctor doing 2 observed urine samples ("observation of the act of voiding"). These are interesting because each is a 3-part process (dirty urine, clean sample in test tube, then finish off in a flask/beaker). The doctor participates in the process and cleans the penis in advance of each sample.

https://getlink.pro/youtube/male-urological-examination-1965-part-2

3 additional comments after re-watching the above link. First, neither patient had any difficulty immediately starting a urine stream when requested and under the close, watchful eye of the doctor. I think a majority of people would have some trouble with this. Second, in the second example the doctor instructed the patient to not stop urinating when switching between the 3 samples. Without standing at a toilet for this part, I imagine this could create quite a mess on the floor and the containers. Third, the doctors concluded with obtaining a slide of prostatic fluid after the rectal exams. The second doctor milked the patient's penis and scrotum for this sample. So many interesting things going on in this video. Oh how medicine has changed.

Yes. First play doc asked and watched. He also had test strips that he used to examine urine sample.

@EnemaGuy4344 do you ever leave the catheter in while giving enema

The collection of urine samples, both voided and catheterized, is an essential part of my play doc experience. They are definitely supervised and include variations, such as multiple-container specimens to capture different parts of the voided urine, samples collected before and after rectal examinations, catheter specimen followed by voided sample, etc.. Urination is one of the cornerstones of my sexuality, especially in the med-fet context. It's kind of naughty and embarrassing to urinate in front of someone, and especially when the urine is collected and studied.