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Urology appointment

Started by Anonymous · · 👁 4 views · 10 replies

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Participants ASam Hall15Brandon Thomas89Casey Rogers47wearyhound42Gary Hill91vividsailor7Bryan Ross20
A Anonymous VeteranOP
3.6K messages
joined May 2005
#1 ·
I'm curious about what actually happens during a urology exam.
Could someone please give me a pretty detailed breakdown of the process?
thanks
Sam Hall15 Sam Hall15 Active Member
225 messages
joined May 2006
#2 ·
It really depends on which organ is being targeted; specifically, a urological exam would be required, while everything else follows a standard physical assessment...
Urologists typically perform kidney ultrasounds, digital rectal exams, and ultrasounds of the bladder and prostate for men, whereas the rest of the physical examination remains consistent with a routine checkup, as I mentioned before...
A Anonymous VeteranOP
3.6K messages
joined May 2005
#3 ·
So, what does the actual exam look like if a guy goes in specifically to get checked for STDs? I’m really curious about the process...
Brandon Thomas89 Brandon Thomas89 Member
33 messages
joined Jun 2006
#4 ·
So, the standard routine is you show up with a full bladder, get a prostate ultrasound, go pee, give them a urine sample to check for bacteria, then back to the ultrasound for the prostate and bladder. Then comes the finger in the butt to feel the prostate—which, honestly, is a walk in the park compared to what actually happens next. If they decide to take an urethral swab, you’re in for some real torture. That finger in the rear feels like a gentle caress compared to this... they shove a catheter through the urethra—it's thinner than those ear cleaners, but still—😲 and then they kind of twist it. It burned so bad I could barely sit down to write for two days... UNKNOWN
A Anonymous VeteranOP
3.6K messages
joined May 2005
#5 ·
thanks
Casey Rogers47 Casey Rogers47 Member
43 messages
joined Jan 2007
#6 ·
I’ve actually had a urine culture swab done at a microbiology lab over at Mayo Clinic twice now. You basically just have them slide a little swab about an inch into the urethra. It tickles a bit, and there’s definitely a stinging sensation when they rotate it a few times, but you’ll survive—it’s over pretty fast. I did deal with some burning the first couple of times I went to the bathroom afterward. Overall, though, my doctor was super gentle and really took care of me.
Brandon Thomas89 Brandon Thomas89 Member
33 messages
joined Jun 2006
#7 ·
It was pretty rough. Honestly, I was in a lot of pain... She probably wasn't being careful enough, especially since I was busy at the salad bar. 😁
wearyhound42 wearyhound42 Newcomer
1 message
joined Mar 2011
#8 ·
Once you receive a referral for a urologist, they will almost certainly send you off to complete the following steps...

A urine culture (you’ll need to collect a midstream sample from your first morning urine into a sterile cup; you can pick one up at any local CVS or Walgreens)

A microbiological ejaculate test (you provide the sample in a sterile container provided by the clinic; you could technically do this at home, but you would need to deliver it within two hours while maintaining a specific temperature, likely around 4°C—so it’s probably easier to just do it there. You should also abstain for about two or three days beforehand to ensure the most accurate results)

A urethral swab (I should warn you, this part can be quite uncomfortable. They typically use three swabs inserted about an inch into the urethra, which is rather painful... you might feel some soreness afterward when urinating or during ejaculation. It is absolutely vital that you do not urinate for four hours prior to the swab to ensure the test is successful)

THE PROCEDURES LISTED ABOVE ARE PERFORMED AT THE MEDICAL CENTER ON ROCKFELLER PLAZA IN WASHINGTON, D.C., AND WILL COST APPROXIMATELY $100.

PSA and f/tPSA tests serve as prostate markers... (these are conducted at hospitals roughly every two weeks. You do need to make an appointment... it simply involves a blood draw, and you wait about 14 days for the results)

A urotractal ultrasound is performed at hospitals and requires an appointment... if they are doing an external Doppler scan, you should avoid urinating for about 1.5 hours beforehand, and it helps to stick to light or soft foods for a few days leading up to it...)

THESE SERVICES ARE AVAILABLE AT HOSPITALS AND SOMEALLY LOCAL COMMUNITY HEALTH CLINICS...
Gary Hill91 Gary Hill91 Newcomer
1 message
joined Jun 2012
#9 ·
Hello there. Following an incredibly uncomfortable encounter at the urologist's office last week, I find myself questioning the legal and medical ethics behind what actually happened.
Specifically, under what circumstances is it necessary to be positioned on a gynecological exam chair for a standard outpatient visit rather than a surgical procedure?
Is it truly standard practice to be required to lie completely😠 naked on that table with my legs spread wide while a doctor and a technician spend an hour performing ultrasounds from every conceivable angle—below, above, external, internal... all while they constantly pace in and out of the exam room?
Between the unprofessional commentary and some light slapping on my backside, I felt compelled to look into whether this warrants a formal complaint.
In the end, the specialist simply concluded that I have some minor hemorrhoids.
Does anyone know if this is just how things are done, or did they overstep their bounds? If you have any insight, please let me know.
vividsailor7 vividsailor7 Active Member
217 messages
joined Sep 2011
#10 ·
Gary Hill91 said:Hello there. Following an incredibly uncomfortable encounter at the urologist's office last week, I find myself questioning the legal and medical ethics behind what actually happened.
Specifically, under what circumstances is it necessary to be positioned on a gynecological exam chair for a standard outpatient visit rather than a surgical procedure?
Is it truly standard practice to be required to lie completely😠 naked on that table with my legs spread wide while a doctor and a technician spend an hour performing ultrasounds from every conceivable angle—below, above, external, internal... all while they constantly pace in and out of the exam room?
Between the unprofessional commentary and some light slapping on my backside, I felt compelled to look into whether this warrants a formal complaint.
In the end, the specialist simply concluded that I have some minor hemorrhoids.
Does anyone know if this is just how things are done, or did they overstep their bounds? If you have any insight, please let me know.

That depends on a lot of factors.
Bryan Ross20 Bryan Ross20 Newcomer
4 messages
joined Nov 2015
#11 ·
Could someone please walk me through what an endosonography—or an ultrasound—actually looks like in practice for women? I'm curious about how the procedure is performed.

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