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Questions about visiting the urologist
An appointment with the urologist begins with a detailed conversation (anamnesis), during which the doctor asks questions about your medical history, current complaints, and lifestyle habits. This is followed by a physical examination, which, depending on the symptoms, may include palpation of the abdomen, groin, and external genital organs. For men, a rectal examination of the prostate is often included to assess its size and condition. This examination is usually brief and does not cause pain. Depending on the findings, further diagnostic measures such as ultrasound examinations or laboratory analyses of urine and blood may be necessary. Regular preventive examinations with the urologist are important to detect and treat diseases at an early stage.
Men over 40–45 years should have an annual check-up with a urologist, even if there are no symptoms. Younger men should see a doctor if they notice symptoms such as pain, blood in the urine, or erectile problems.
No, a prostate massage is not necessary at every visit. It is usually performed if there is suspicion of a prostate infection or if prostate secretion is needed for examinations.
Blood in the urine or semen, pain in the testicles or lower abdomen, problems with urination or erectile dysfunction are clear signs that a visit to the urologist is advisable.
Pain perception is individual. Some find the swab uncomfortable, while others have hardly any complaints. For many infection diagnoses, however, a urine sample is often sufficient.
During the first visit, a medical history (discussion about complaints and history), a physical examination, and possibly a urine sample are usually conducted. For specific complaints, further tests such as an ultrasound or a blood test may be necessary.
Before the visit, one should consider what complaints are present, how long they have existed, and whether there are any pre-existing conditions. A full bladder can be helpful if a urine sample is required. Shaving is not necessary.
A urologist can detect and treat conditions such as prostate cancer, testicular cancer, bladder infections, sexually transmitted infections, and problems with hormone production at an early stage.
The prostate is usually examined through a rectal palpation (with the finger through the anus). Additionally, an ultrasound examination or a PSA blood test can be performed to detect abnormalities.
Yes, many men have inhibitions or fears about their first visit to a urologist. However, urologists are specialized in such examinations and conduct them professionally and discreetly. An early check-up can help prevent later health problems.
Yes, that can happen, but it is completely normal. Urologists are used to it and handle it professionally. An involuntary erection is a natural reaction of the body and no cause for concern or embarrassment.
