Preventive Care for Forward-Thinking Men
The urological check-up is a central component of preventive healthcare for men. It is not just about prostate screening, as many people think, but about a comprehensive assessment of the urinary tract, testicles, prostate, libido, fertility, and hormonal balance.
From the age of 45, men are recommended to have an annual urological check-up. In cases of a family history (e.g., prostate cancer) or specific symptoms (e.g., loss of libido, erectile dysfunction, difficulty conceiving), the first appointment should take place much earlier.
What is examined during a urological check-up?
A good urological check begins with a detailed consultation and is followed by various examinations:
1. Medical History & Preliminary Consultation
- Current symptoms
- Family history (cancer, hormonal disorders)
- Sexuality, libido, erectile function
- Medication, lifestyle, pre-existing conditions
2. Physical Examination
- Digital rectal examination (DRE)
- Examination of the testicles, epididymis, and penis
- Assessment of the external genitalia (e.g., varicose veins, swelling)
3. Laboratory Tests & Imaging
- PSA level (prostate-specific antigen)
- Urine test (infections, blood, glucose, protein)
- Ultrasound of the bladder, kidneys, and prostate, if necessary
- Possibly a sperm analysis if trying to conceive
- Hormone status (e.g., testosterone, LH, SHBG, TSH)
Especially when combining a physical examination, laboratory tests, and a personal consultation, many conditions can be detected early, even before any symptoms appear.
Why is a urological check-up so important?
Many urological conditions develop slowly and often go unnoticed for a long time. The check-up not only aids in early detection but can also provide guidance in cases of:
- Declining libido or erectile function
- Changes in urination (e.g., weak stream, nocturia)
- Unexplained pain or lumps in the testicular area
- Psychological distress related to sexuality or masculinity
- Deciding on hormone tests or testosterone replacement therapy
At what age is a check-up recommended?
| Age | Recommendation |
|---|---|
| From age 30 | If symptoms occur, e.g., loss of libido, trying to conceive, pain |
| From age 40 | Initial preventive consultations & digital rectal examination |
| From age 45 | Regular annual check-up, including a PSA test |
| From age 50 | Complementary colorectal cancer & cardiovascular screening is advisable |
The Urologist as a Partner in Men's Health
Many men find going to a urologist uncomfortable, often due to uncertainty or embarrassment. But that is exactly what needs to change: The urologist is the first point of contact for intimate questions, sexuality, performance, and fertility, and can help correctly assess symptoms before they become chronic or psychologically distressing.
Conclusion
The urological check-up is an accessible, effective way to keep a comprehensive eye on your health, far beyond the prostate. It allows you to identify risks early, clarify changes, and make important decisions about your sexual, hormonal, and reproductive health.
If you would also like to discreetly check your hormone status (e.g., testosterone, SHBG, PSA) beforehand, the Premium Testosterone Test from Adon Health is a useful addition, conveniently done from home, with the option of a medical evaluation. This way, you can specifically prepare for or support your urological check-up.