JOCK PHYSICAL

My new patient, 24 year old Victor Villalobis, has been having issues getting a sound night’s rest and has only been able to achieve 3 hours of sleep each night. A complete adult physical examination is called for and I will be on the look out for specific issues that might cause this condition. I instruct Victor to remove all of his clothing in preparation for his exam.

As I busied myself with organizing his paperwork, I can see that Victor has been able to maintain a fairly decent athletic form. It is obvious that he keeps his body in a natural state as evident by the dark mat of hair covering the expanse of his pectorals, descending in a straight line down the center of his abdomen before disappearing into the waistband of his shorts. Victor also has an extensive amount of underarm hair which I noted as he pulled his shirt off. He reached for his belt, undid it and slid down his walking shorts to reveal his navy blue briefs. Modestly, he turned his back to me before shucking down his briefs. I instructed him to also remove the dark ankle socks that he had worn today. He mounted the exam table and settled in.

Victor is uncut; his penis dangles in a flaccid condition, approximately 4 inches in length. Upon taking his blood pressure, which I noted that it was a bit high, and while still looking for causes to his sleep disorder, I was informed that he had a recent death in his family and has been under more stress at work. I noted, upon listening to his chest, lungs and bowels; all sounds appear to be normal. Palpating his chest and abdomen, I found him to be in very good overall condition. His black hairs were soft to the touch and easily parted to allow me to make direct contact with his skin.

As I neared the abdominal region, his penis began to involuntarily twitch and then it began a sideward journey, snaking up his thigh. Victor’s eyes were closed and I can only assume that he was thinking “this is not the time for me to get an erection”. His penis was now pointing towards the ceiling, curved in a large arch. The foreskin retracted fully and exposed the tender corona. Victor has an ample scrotum, probably one that would best be described as “low hangers”. I examined each testis, upon locating them in the loose folds of skins and let my fingertips wander over the surface of each before requesting that he stand to allow me to continue.

His penis jutted out a bit from his body and through my manipulations, for the purpose of examination, I was able to get him fully aroused. I re-directed my attention to his scrotum and again examined each testis before securing a double dose of coughing from the patient while checking for a hernia condition. Turning him around, I palpated his spine before directing him to return and mount the exam table, resting onto his hands and knees.

In contrast to his front, Victor has a faint dusting of hair covering his buttocks and which I noted upon parting his buttocks, also in the crevice surrounding his anus. I palpated his spine, from shoulder region to his waist and allowed myself to re-examine his dangling scrotum that swayed between his legs. Reaching for the lubricant, I informed Victor that I would take a rectal temperature next. Giving him advance warning regarding the coolness of the lubricant, I was able to wiggle the device into his rectum.

You might remember having a rectal temperature taking when you were a baby, I asked of him. He replied that he also had one at age 18 for a sports physical. Really, I replied, were you also at that time, given a prostate examination ? No, replied. At that point, I informed him that I would do a prostate examination next. Lubricating my finger, I took aim and eased my finger into his tight rectum. Victor was able to remain calm, listening to the sound of my voice, coaxing him into some deep breathing exercises to keep him calm. After a few short moments, I was able to lodge my finger fully extended within his rectum. Then I began a serious of gentile rocking, back and forth, over his prostate and upon inquiring, found out that he was indeed feeling a bit of sexual arousal. His penis was approximately half way erect at this point.

Turning him about, I instructed him to recoil his legs, drawn up to his chest and to assume a wide open spread to allow me to continue. Applying additional lubricant, I inserted my finger again, watching the reaction on his face, noting his eyes were closed as I tapped against his prostate a few moments longer. Satisfied that he had sufficiently endured enough, I withdrew and then instructed him to lay back with his arms folded behind his head. I retrieve a cotton tipped applicator and moved forward, grasping his penis and informed him that I would take a urethral culture next. He obviously knew that it would cause a bit of discomfort and he was already starting to squirm a bit on the exam. To add a bit more to his discomfort, I kept the applicator inside for a slightly longer period than necessary to retrieve the required specimen.

To conclude the office visit, I informed Victor that he would be required to produce a semen sample. I provided him with lubricant and owing to the thick mat of chest and abdominal hair, I suggested that he use the petri dish to deposit his specimen. He took matters into his own hand and in no time, he was able to produce several long rope-like specimens collected into the petri dish.

I hope to have Victor return as I would like to fully explore options to cure his sleep depravation.

New patient, LeVern Whitehurst is 27 years old and during his formative years, he was a member of his school’s basketball and track teams. He started puberty much, much later than most of his contemporaries on those teams, as his teammates commented “where is your genital hair” ? It was until his 19th year that hair began to develop and penis size increased. Currently, his penis in a flaccid state measures 6″ uncut inches and a whopping 8 1/2 inches in length when fully aroused.

Today’s office visit necessitate a full adult physical work physical as LeVern was starting a new job. His previous exams for sports was performed at school by a school district appointed doctor and performed in the team locker room. He also received one at age 16 with his mother in the exam room and he was definitely relieved he was receiving a solitary examination today.

I instructed LeVern to strip naked to begin his physical examination. I found out that his last examination was also for a work requirement from a previous employer. He is a truck driver, required to deliver parcels, so I am sure that his company would like him in sound medical condition for this work and for insurance purposes. His body has a few wisps of hair poking through the skin on his chest and the majority of hair growth begins at the naval and moves downward. His pubic region is covered with dark, coarse hairs with an ample amount of hair growth on his scrotum as well. He adjusted his penis as he settled in as it was trapped between his thighs due to the shear length of it. The tip of his penis was obscured by a hood of skin and during my initial inspection of his member, I discovered the hidden tip of his penis is several shades lighter than the other areas of his body.

Turning him around and jockeying him into position onto his hands and knees, I notice that the same coarse hairs covered his buttocks and nestled in the crevice between both orbs. Parting his buttocks slightly, enabled me to visually inspect his anus, noting that the surface was free of any exterior obstructions which can develop. A rectal temperature was taken first, as I liberally applied lubricant and slid it into him. In no time, it was withdrawn, and I informed him a prostate examination would be next. Readying myself, I coaxed and relaxed him through a series deep breathing exercises and found out that this was his first encounter with a prostate check.

There was a small bit of moisture clinging to the tip of his penis as I prepared to take a urethral specimen. Another first for LeVern. His face slightly grimaced as the applicator slid inside (after a few false started attempts to gain entrance). Once inside, I was reluctant to remove it immediately as I slowly moved it about and deeper inside of him. I repositioned his penis to allow me a clear pathway to push it deeper inside him. Satisfied, I had collected and compelled him to endure enough, I withdrew it, much to his relief.

Continuing with the exam, I instructed LeVern to produce a semen sample. Lubricating his penis, he began a rhythmic pumping of his organ and after a few moments, the tip of his penis curls a bit as his foreskin retracts. He continued his rythmatic pumping and in a short time while, he was about 7 3/4 inches in size.

His stroking began to increase in speed, his penis responding in kind, his breathing pattern changed a bit, and then a few short moments later, LeVern erupted and spewed onto his chest and abdominal area. I was able to step forward at this juncture and use a tongue depressor to collect the required specimen. Allowing him to clean up afterward, I noticed how distinctive his member had become now. While his shaft was still an ebony in color, the corona had assumed a pink fleshy skin color, a marked contrast between both areas.

At 5’08″, 120 pounds, it is probably a wise choice that 19 year old Devon S. chose tennis as his main recreational sport. His body has been shaven smooth (from neck to knees) however, there is a faint dusting of hairs that still remain which cover his spine and the crevice of his buttocks (which I discovered later). Devon came to me as a referral from another patient so I can only assume that his patient friend may have informed him about what was required during an adult physical examination. Armed with that tiny bit of knowledge, I told Devon to strip naked and position himself onto the exam table when was ready.

Glancing at him as he disrobed, the bright yellow boxers caught my attention, would they signal caution or yield the right of way, I hope it is the latter. As I busied myself with his paperwork, I looked up just as he dropped his shorts and I was greeted to a dangling 6 inch flaccid uncut penis. If I had to state if this “kid” was a grower or shower, I would say he is most definitely a shower. The initial portion of the exam proceeds and then suddenly, very much without any warning, Devon begins to get fully aroused ! I detected subtle movements in his penis, the foreskin begins to retract, his penis begins to lengthen and most definitely thicken and rising off of the exam table and sticking out like the Excalibur sword.

Rather than call attention to it and cause him any embarrassment, I continue with the examination and then just as quickly as it appeared, the erection subsided and he returned to a normal, yet still impressive, flaccid condition, which also afforded me a good opportunity to begin the genital examination. I am remiss if I do not perform a thorough inspection upon a uncircumcised, young male patient. After all, how else would I know if the foreskin causes him any issues during periods of sexual excitement. This examination would necessitate a foreskin manipulation, and I roll the foreskin back and forward, then back and forward over the corona of his penis. I noted, upon doing so, that a creamy discharge had been left under the folds of the skin from his earlier erection.

My manipulations of his penis in this manner caused the return of his erection and as I asked him to stand upright to continue; his penis was clearly jutting out once again from his body. I continued to manipulate his penis further while he was standing and also directed my attention to the baby bird sized eggs that were encased in his scrotum. I noted their shape and size, before I performed the test to detect the presence of a hernia.

Explaining that I would check his spine next, I directed Devon to the exam table, and with subtle hand gestures, I was able to direct him into the proper form for what was to come next. Palpating his spine, I did notice the faint dark black hairs on his spine, and parting his firm round buttocks, I observed the growth of hair surrounding his puckered anus. Reaching for the lubricant and thermometer, I informed Devon of what I was about to do next. Applying the cool lubricant to his anus, and following a deep intake of breath, I pushed the thermometer inside him and wedged it into place. The thermometer is sometimes a good indicator of what will transpire next however, in this instance, I received no such advance notice.

Removing the thermometer, I informed him that I would examine his prostate next. After a series of deep breaths and whereupon each intake and exhale, I was able to move inside him, deeper and deeper, until my finger was lodged inside him completely. I detected no resistance to my presence. From performing many, many exams, I guess I have developed a bit of “6th sense” about performing this particular procedure. I received the same sense from another patient most recently, which caused me to “push the envelope” a bit further than I normally would. Devon was definitely in the “willing to receive” more camp, I just didn’t know how much…..at this point.

Turning him around now, instructing him to lay flat onto his back, with his legs opened wide, and to grasp his hands behind his knees, serves several purposes. It allows the best unobstructed to view of his exposed anus, it allows me to gain entrance easily for further exploration AND affords me the opportunity to push inside him deeper then any other positioning (including the use of the table stirrups). To confirm my suspicions, I took aim and in one swift movement, pushed my finger back inside him all the way to the hilt in one swift motion. I rapidly moved to his prostate and began a systematic exploration designed to provide him with sexual pleasure, one which his face clearly showed that he was experiencing. Taking that as a good sign, I withdrew, lubricated further, pushing now a second finger inside him and then began the assault on his prostate.

Checking his penis, I discovered copious amounts of seminal fluids were oozing from the tip so I was in a bit of a quandary. Should I continue the assault or withdraw and use the opportunity to collect these fluids. The amount of fluids emitting caused me to move forward in that area so reluctantly, I withdrew my fingers. Reaching a cotton swab, I informed Devon that I would take a urethral sample now, noting that there was quite a bit of fluid from the prostate examination. Clearly over 98% of my patients experience some degree of discomfort with this procedure, Devon was definitely an exception. There was a momentarily disruption in this size of his erection, but as I moved the applicator further inside his penis, Devon himself grasped his penis to allow me move the instrument deeper inside him ! Moving the swab, up and down, I was able to soak up quite a lot of fluids, which prompted me to take a 2nd swab and to repeat the procedure. Likewise, Devon positioned his penis and held it to allow me to gain entrance again for a deep exploratory collection.

I had to move forward, reluctantly, mind you and then ask for Devon to produce a semen specimen. Owing to my earlier involvement, I decided to linger a bit further and “lend a hand” to get his penis back into a fully excited condition. Employing a series of techniques, I was able to do so and then told Devon to continue on his own. I permitted a few moments to go by before checking back with him only to discover that he was having a bit of difficulty moving towards completion. Upon commenting on his condition, I received a completely unexpected response, “he asked me to help him again”.

My mind immediately went into overdrive and as Devon gave me the opportunity to push the envelope even further, I retrieved a device specifically designed to stimulate the prostate. Lubricating it, I slipped it inside him, and he responded by arching his back a bit to ease the entry. Designed to stimulate and apply pressure to the prostate, it also could be used as a substitute dildo and to that purpose, I employed. The lubricate was reapplied and I stepped up the speed at which I moved the device back and forth. Now, clearly this device is not used for this purpose and then I remembered that I also had a glass marital aid that actually is designed for this purpose.

Removing one device, I replaced it with another, and continued my assault. Looking down at his penis from my vantage point, I thought that it might be more advantageous to switch positions so I suggested to Devon that he take up the anal portion, while I moved to restore his penis to a more rigid condition. I was able to do in fairly short order and took the liberty of measuring him at this point, securing a measurement of 8 1/2 erect inches in length. Rigid as he was, Devon was still having a difficult time achieving a full ejaculation, while those fluids still continued to copiously ooze from his penis.

In the interest of moving forward, I suggested that I take another round of urethral specimens in place of a semen collection. I think, at this point, that Devon was slightly relieved and could use a break and a relaxation respite. Like before, it was a simple matter to insert the cotton swab a full 3 inches into his urethra to secure a specimen. Devon again assisted, keeping his penis positioned to allow maximum insertion and to which, I now employed a masturbation like movement of the swab while it was still lodged in his penis. I began slow deliberate movements in and out, in and out, collecting fluids in doing so. Reaching now for a 4th swab, I continued in this manner until I had secured ample specimens.

I directed Devon to clean up and he proceeded to use the cleansing wipes to tidy up with genitalia. The manipulations, the cooling and soothing wipes caressing his penis and scrotum had an unexpected effect on him….he got aroused all over again. Standing there, he employed several more wipes and his penis was fully erect once again !

Would you like to continue, one more time and try for a semen release ? He said that he would, so back onto the exam table he went and took matters into his hand once again. I watched has the tempo increased, his breathing became slightly more labored and a few short moments later, with a sigh of definitely release, his penis erupted spewing forth wave after wave of cream which sprayed all over this abdomen and smooth pubic area.

I was able to step forward to collect the sample using a tongue depressor, after at the conclusion, Devon was able to “wipe it” all clean.

It is always on the second office visit that I tend to give a more “in depth” examination and so it was with the return office visit of Reed Wheaton. From his last examination, I knew that basketball has been Reed’s main sport all during his middle and high school years. On the injury list, Reed had previously broken his collar bone while playing basketball. Finally, I also knew that Reed was exceptionally protective of his anus so at the onset, we were both a little apprehensive. I knew what was required and Reed was fearful just for his lack of knowledge of the procedures to follow.

In some respects, a second examination is both easier on me and a bit more challenging. I know how they will react to some events; while other activities are uncharted territories. I knew Reed did not enjoy any rectal stimulation but would not object to a more thorough examination of his penis. So it was no surprise when I was able to get Reed into a semi-aroused state during my initial genital examination.

I turned him around for the rectal examination portion and in doing so, I was able to step back a bit and observe how his body language showed the anxiety that he was experiencing. His buttocks completely exposed; his body positioned awaiting a rectal temperature; knowing that a digital rectal examination would follow.

Reed could probably best be described as a patient that does not like to be in a helpless situation. I knew that psychologically, he did not enjoy submitting to any form of rectal examination, yet his body reacted in a completely different manner. His prostate, which was easy to locate, responded quickly to my direct pressure, and began the production of clear seminal fluids.

His penis, now in a semi-aroused condition, gave me a signal to proceed with the anoscopic examination of his rectum. In a fluid motion, I was able to lubricate the device and begin its long descent into his bowels. Reed became resigned and endured this portion of the exam in stoic silence. His satisfaction, when I removed the device was short lived, as I instructed him to turn around and to draw his knees up to his chest for a continued rectal examination. I noted that his penis was still in a semi-turgid state as he repositioned himself.

Stretching his body out again with arms over his head, I was able to procure a urethral specimen as there was a copious amount of fluid available. Owing to the amount of fluids that had accumulated, I kept the cotton tipped applicator buried inside his penis for a bit longer and was rewarded with a “bitter face” reaction at the discomfort that Reed was experiencing.

Overall, Reed was an excellent patient and I felt that he was due a reward so I gave him an assisted semen specimen collection and I was able to stimulate him to ejaculation in a relatively short amount of time.