Planning ahead for men
A urological check-up is a key component of preventative healthcare for men. It's not just about prostate health, as many believe, but about a holistic assessment of the urinary tract, testicles, prostate, libido, fertility, and hormonal balance .
Men are advised to have an annual urological check-up from the age of 45. If there is a family history of prostate cancer (e.g., prostate cancer) or specific symptoms (e.g., loss of libido, erectile dysfunction, infertility), the first appointment should be scheduled much earlier.
What is examined during a urological check-up?
A good urological check begins with a detailed consultation and then includes various examinations:
1. Medical history & preliminary consultation
- Current complaints
- Family history (cancer, hormonal disorders)
- Sexuality, libido, erectile function
- Medication use, lifestyle, pre-existing conditions
2. Physical examination
- Digital rectal examination of the prostate
- Examination of testicles, epididymis and penis
- Assessment of the external genitalia (e.g. varicose veins, swelling)
3. Laboratory & Imaging
- PSA level (prostate-specific antigen)
- Urine test (infections, blood, glucose, protein)
- Ultrasound of bladder, kidneys, and possibly prostate.
- If necessary, a sperm analysis should be performed if you wish to have children.
- Hormone status (e.g. testosterone, LH, SHBG, TSH)
Especially through the combination of physical examination, laboratory values and personal conversation, many diseases can be detected early, even if no symptoms are yet present.
Why is a urological check-up so important?
Many urological diseases develop slowly and often go unnoticed for a long time. A check-up not only serves for early detection but can also provide guidance in the following areas:
- Decreased libido or potency
- Changes in urination (e.g., weak stream, frequent urination at night)
- Unexplained pain or hardening in the testicular area
- Psychological stress related to sexuality or masculinity
- Decision on hormone tests or testosterone replacement therapy
At what age is a check-up recommended?
| Old | Recommendation |
|---|---|
| Ages 30 and up | For complaints such as loss of libido, desire to have children, pain |
| Ages 40 and up | Initial preventative consultations & prostate examination |
| Ages 45 and up | Regular annual check-ups including PSA test |
| Ages 50 and up | Additional colorectal cancer and cardiovascular screening is advisable. |
The urologist as a partner for men's health
Many men find going to the urologist unpleasant, often due to insecurity or shame. But that's precisely what needs to change: The urologist is the first point of contact for intimate questions, sexuality, performance, and fertility, and can help to correctly assess symptoms before they become chronic or psychologically distressing.
Conclusion
A urological check-up is an easily accessible and effective way to keep a holistic eye on your health, extending far beyond the prostate. It allows you to identify risks early, clarify changes, and make important decisions regarding your sexual, hormonal, and reproductive health.
If you would also like to discreetly check your hormone levels (e.g., testosterone, SHBG, PSA) beforehand, the premium testosterone test from Adon Health offers a useful supplement, conveniently from home, with the option of a medical evaluation. This allows you to specifically prepare for or accompany a urological check-up.
