Urological exam of the male

What specifically does the genitourinary exam consist of?

If complaining of ED, how will the penis be examined for neurological and/or cardiovascular dysfunction.

Is an anoscope, proctoscope or other dilation devices used to enable visual examination? Does one receive an enema prior to the rectal exam.

During my exams, my doctor just feels my testicles and scrotum. I’ve never had an enema before a rectal exam. I’ve had to have an anoscopy before, the doctor inserts the instrument into my rectum and checks for any lumps or hemmorhoids.. but in most cases, only a quick prostate exam is required.

Just had my first urodynamics exam. 3 caths inserted, bladder filled with sterile saline twice, rectal probe inserted far. Followed by usual cystoscope every 6 months. Then, I had to show them that I could self-cath, as I'll be doing that 3 times each day and recording results before I see my urologist in 4 weeks. I feel worn out. My RN was a lady in her 60's who was a princess. She was VERY kind and careful, very friendly and knew what I was feeling. She was wonderful!

The exam for ED is pretty simple. A normal visual exam of the penis and scrotum and testicular exam. Then the doctor runs his thumb and forefinger along your penis to produce an erectile response. He will also do a DRE. He will likely give you a prescription for Viagra and see how that works. If you still have problems he’ll look closer.

Anyone ever seen those ads about those using catheters daily and ordering them from Liberty Medical? Yesterday, I became one of those folks. Today is my first day of voiding, measuring it, cathing and measuring the results, 3 times each day. It's quite uncomfortable, but amazing how much urine comes out after putting a cath in. This morning, I voided 150cc, then cathed and got another 250cc out. I feel like my bladder is empty when I cath, but obviously it's not empty. My urologist said my bladder muscles are weak and that to leave this situation alone can do kidney damage ultimately. I asked about the urologic meds I take and he said they would do nothing to help my bladder. The only way to help the bladder muscles is to completely empty the bladder several times a day and let the bladder muscles get used to being totally empty.

Not fun; insertion burns and normal voiding afterward also burns somewhat. I see him again in 4 weeks for evaluation. I really don't like this situation. Aging is a bitch!