Age: 20, Height – 5’08”, Weight – 156
Waist – 31″, Hair – Black, Eyes – Brown, Feet: Size 10
Erect – 7″, Flaccid – 4″, Foreskin – Cut
Orientation – Straight, Sports : Basketball, Track
Branching out my practice, I have begun accepting patients that needed Immigration Physical Exams required by the Immigration and Naturalization Service and the very first patient is 20 year old Jerrald Manning from Nigeria. It had been a four years since his last medical exam, which was performed at a clinic.
At the onset, I could tell Jerrald was a bit nervous; most likely because so much is riding on a positive outcome of his physical examination. As a pre-requisite, the INS did require a urine specimen so I had Jerrald remove every stitch of his clothing. He hung his clothing on the rack and upon handing him the collection apparatus, I further informed him that it was required that I observe him as he produced the specimen. After a couple of false starts, the yellow liquid began to collect and Jerrald shook off the last remaining drops.
Questioning him about his sexual habits, I found out that while he considers himself straight, he has had sexual encounters with both sexes although his liaisons have been predominately with females.
Ricky returns to discuss a personal health matter and to seek relief. He has been experiencing a burning sensation when he urinates and has urine flow issues.
I knew Ricky is not a fan of condoms so my first question to him, “have you had unprotected sex ?” He replied that he had and then I followed with another question, ” have you had any discharge from your penis ?” Again, he replied in the affirmative but he was confused at my question. He assumed the “discharge” I was speaking of was a release of semen. So, he did not have any form of mucous discharge which might have been related to a sexually transmitted disease. I have him disrobe entirely in preparation for his exam and therapeutic session.
After my initial examination of his upper body, I began to focus my attention on his genitalia. Ricky mentioned that he also did have a bit of soreness in the perineum area just beneath his ample scrotum, yet I first examined his penis. The foreskin shielded the glans, so with my gloved hand, I grasped his penis at the base and retracted the foreskin. A moist film covered the glans and I squeezed the tip to open the urethra for a visual inspection. I explained to Ricky, that I needed to see if there was any discharge which would require me to stroke his penis to do so. Getting his permission to do so and all in the interest of medicine…. ahem… I worked him into a full erection in no time at all. When he was fully aroused, I took a cotton tip applicator and took a urethral culture. Feeling fairly satisfied in my diagnosis, I moved forward.
Opening the zippered case containing the dilators, I selected the instrument and a lubricant packet then returned to the exam table. Ricky took a look at the metal rod and his eyes became wide with concern. I made the attempt to calm him as I informed him that it would go in slowly and be well lubricated. The size of his erection had shrunk slightly so taking his penis into my hand, I took aim and slowly inserted the dilator. Pain registered immediately… but as I promised, I moved further into him slowly and allowed the dilator to sink in. His breathing became erratic as the discomfort set in however, I knew the outcome would help his flow return to normal. Allowing the dilator to enter his penis through half of its length; I took pity on Ricky and withdrew it to give him a rest.
His penis had shrunk considerably and I knew that a further treatment would be necessary and it would be accomplished easier if he was erect at the start of it. So, taking some lubricant, I liberally apply it to his penis and mentioned that it would go easier if he was erect. His penis responded immediately to my touch and in no time, I had him fully aroused again. To his dismay, I told him that I would repeat the dilation once again. This time, I allowed the dilator to enter his penis farther and almost inserted the entire length. Again, discomfort registered but he appeared to be getting used to it a bit …yet his penis still returned to a flaccid state.
Feeling that he had enough, I took the lubricant and liberally applied it to his penis and returned it to an erect state. As I continued to masturbate Ricky, his once flaccid penis became fully engorged and he his breathing now became labored from excitement rather than pain. His penis began to secrete pre-seminal fluids which when mixed with the synthetic lubricant turn into a white and creamy mix of fluids. Sensing that he was close, I allowed Ricky to continue on his own and with his efforts the creamy pre-seminal showers showered down from his penis. Grasping the collection dish, Ricky erupted and shot a healthy stream of semen into the dish base.
It has been over 6 months since his last treatment and Donte comes back to the office today as the issues he experienced with urethral blockage and prostatitis have reoccurred. However to be completely thorough and although, I suspected my initial diagnosis is correct, I am obligated to perform a full adult physical examination on Donte to confirm. To begin, I have Donte strip completely naked and direct him to the exam table. Donte, from his prior military service with the US Army, is completely comfortable and at ease in a naked state.
After concluding my work with the stethoscope across his chest, I continue with an examination of his genitals. Donte is uncircumcised and has a elongated foreskin. Grasping his penis at the base, I use my other hand to retract the foreskin exposing the tip of his penis. A moist film covers the glans and I surmise that Donte has been a bit lax in his personal hygiene.
I stand him upright, adjust the exam table and inform him that I will begin the prostate massage portion of the examination. Donte knows the routine, yet I still need to guide him into the proper positioning to allow me to full access to his anus. Inserting a lubricated finger, I quickly locate the prostate and begin a circularly motion and apply increasing amount of pressure while my other hand massages his penis. Donte is visibly squirming on the exam table as he enjoys the effect of my prostate massage.
Completing my initial finger examination, I have Donte turn over and with his legs supported by the exam table stirrups, I continue with a different form of prostate massage with the insertion of instrument designed to maintain the stimulation. To allow Donte to become more involved with his treatment, I hand the device to him to let him glide the device inside his bowels as I prepare the dilators to clear the urethral blockage. With the prostate massager properly seated, I begin with the dilation and the range of pain and pleasure are clearly obvious on Donte’s face. He reacts both verbally and non-verbally as his hand brushes against the front of my scrubs. While enjoying the sensations that he is providing to me, it is a bit distracting as I have a rather large….and thick……. dilator inserted into his penis at the time.
Satisfied that I have freed any blockage, I remove the dilator and begin Donte’s arousal process anew. From past experience with Donte, I know that it takes a bit of effort to start the enchanced blood flow to his penis. His penis is slightly cooler than his upper body so I begin to warm his penis to allow it to finally become engorged…. which as it turns out was a long process. I allow Donte to continue on his own for a tasty release.
Reporting to my office directly from basketball practice, Lucas clearly is in pain. As he explained, he was fighting for a rebound during the match and sustained an elbow to his back during the skirmish. Obviously in discomfort, I assist Lucas with the removal of his tank top and shorts. Clad now only in his jockstrap, I began his injury examination. His breathing is a bit labored as he most likely sustained an additional injury in his diaphragm which prevents him from normal breathing.
Concerned that he may have sustained a groin injury that his jockstrap did not prevent, I assist Lucas with the removal of this elastic support. In contrast to his smooth upper body, Lucas has a lush growth of pubic hair which surround his genitalia. I move in quickly and am delighted to see that his penis responds to my touch and begins to lengthen and thicken, which I take as a very welcome sign. Standing him upright, I help to steady him as he stands at the end of my exam table to allow me to further examine his reproductive organs. Always concerned about internal injury, I direct Lucas to turn around and ease him into a resting position supported by his knees and elbows.
Despite being in pain and with my assistance, Lucas is maneuvered into the proper positioning for a deep internal exploration. I begin with my lubricated finger which is pushed into his anus and immediately locates his prostate. Checking his penis, I find it is still in an aroused state and a few taps of my finger tip against the gland begins a seminal flow from the urethra. Somewhat lubricated now, I removed my finger and replace it with a longer lubricated device; the anoscope. Taking aim, it steadily disappears into his rectum until it is buried to the hilt. Rotating the device, I remove the plunger and peer inside as the device is slowly retracted. Further prostate massage is maintained through the insertion of a prostate massage device.
Satisfied that he did not sustain any permanent damage, I move on to the relief portion of the office visit. Turning him over, I begin to apply a layer of aloe vera gel and manually work it into the aggravated muscles. No area is immune to my touch for soon after, I begin to coax his penis to full arousal. My attention to detail and desire to provide relief to the patient leads to a tasty eruption a few moments later.