Urology Exams: What to Expect and Hygiene Concerns - Urology

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Hello Doctor, I went to the urology department for an examination and had an internal exam.
I'm not sure what instrument was used.
I would like to know if urology uses a speculum like obstetrics and gynecology, or if it’s something else? In gynecology, they use disposable speculums, and I’m a bit worried because there seemed to be many patients with warts in that urology clinic.
I'm concerned about the possibility of infection, and I also wonder if the examination table was clean! Since I returned, I've been experiencing itching in my anal area for the past few days.
I’m not sure if it’s psychological or if I might have contracted something.
Thank you for your response.

Hui, 20~29 year old female. Ask Date: 2017/02/28

Dr. Du Shixi reply Urology


Hello: In the urology outpatient department of the hospital, most of the examination tools used are disposable, and there are standard operating procedures (SOP) for cleaning.
If you feel any abnormalities, it is better to return for a follow-up visit.
Thank you for your inquiry.

Reply Date: 2017/02/28

More Info


When visiting a urologist for an examination, it's understandable to have concerns about the procedures and hygiene practices involved, especially if you have had experiences in other medical settings, such as gynecology. Urology exams can involve various diagnostic tools and procedures, and it's important to know what to expect and how to maintain hygiene.

During a urological examination, the doctor may perform a physical examination that could include a digital rectal exam (DRE) for men, which involves the doctor using a gloved finger to assess the prostate gland. For women, a similar examination may be performed, but the focus is typically on the urinary tract and bladder. Unlike gynecological exams that use a speculum (often referred to as a "duckbill" or "鴨嘴" in Chinese), urological exams do not typically involve such instruments for internal examinations. Instead, urologists may use other tools like ultrasound or cystoscopy, which involves inserting a thin tube with a camera into the bladder through the urethra to visualize the bladder lining.

Regarding your concerns about hygiene, reputable medical facilities follow strict protocols to ensure cleanliness and prevent the transmission of infections. Instruments used during examinations are either sterilized or disposable, and examination tables are cleaned between patients. If you have concerns about the cleanliness of the facility or the instruments used, it is perfectly acceptable to ask the medical staff about their hygiene practices. They should be able to provide you with information on how they ensure a sterile environment.

As for your experience of itching after the examination, it could be due to a variety of reasons. Itching can be a psychological response to anxiety about potential infections, especially if you are worried about exposure to other patients. However, it could also be a sign of an allergic reaction to the lubricants or gloves used during the examination, or it could indicate a mild infection. If the itching persists or worsens, it is advisable to consult your healthcare provider for further evaluation.

If you are feeling anxious about the possibility of contracting an infection, it may help to practice good hygiene after your visit. This includes washing the genital area with mild soap and water, wearing breathable cotton underwear, and avoiding irritants such as scented products or harsh soaps. Staying hydrated and maintaining a healthy diet can also support your urinary tract health.

In summary, urological examinations are generally safe and performed with a focus on hygiene. If you have specific concerns about the procedures or hygiene practices, do not hesitate to communicate with your healthcare provider. They are there to help you feel comfortable and informed about your health. If you continue to experience symptoms or have ongoing concerns, seeking a follow-up appointment is a good idea to address any issues and ensure your peace of mind.

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