The nurse showed Rob into the exam room. He had been here many times over the last few months and knew the routine. Once the nurse was out of the room and the door closed, he started to undress. As he pulled his fitted t-shirt over his head, he sighed at the gown, laying on the exam table. Rob kicked off his shoes, undid his belt, and let his jeans slide to the floor. He folded his clothes neatly on a nearby chair, removing his socks and underwear, laying them on top of his clothes. He put on the gown, leaving it open in the back sat down on that familiar exam table protective paper.
Rob was an average man. Mid-thirties, about 5'10" tall and relatively trim at 190 pounds. His dark hair had just started to show some gray. He and his wife had been trying to conceive for a few years now without success.
A few minutes later, Dr. Mitchell knocked on the exam room door and entered without waiting for a response. "Good morning, Rob" he said sympathetically. "Good morning, Doc." Rob responded.
"I know this has been a long journey, Rob. These tests today, should give us some answers. I was reviewing your previous test results and I still think this is the right option. Your wife's tests came back perfectly, as did yours. Your semen samples all show very healthy sperm. Good motility, count... It all lines up."
Rob nodded with pride and continued to listen as Dr. Mitchell described the next set of tests.
"Did you abstain for the last two days?" Dr. Mitchell asked. Rob nodded and joked, "It wasn't easy, but I found some things to distract me." Dr. Mitchell laughed as the mood lightened.
Dr. Mitchell explained as he began moving equipment into place. "Good. We want to make sure you are able to produce enough seminal fluids to perform a full analysis on your semen's quality. Since we are certain your sperm are healthy, we need to evaluate if your seminal fluid is hospitable. If anything is off, your sperm might not survive long enough to impregnate your wife."
"So, today's exam will take at least an hour to collect enough semen. I'm going to get you setup here and connected to the collection equipment. This is going to be a generational comparison test. We obviously know your dad can father children, so we'll compare your semen to his, in addition to any other tests. We'll bring in your dad, once he's finished with his forms and set him up on the next exam table. You are both comfortable having the procedure together?" Dr. Mitchell asked.
Rob nodded. "He and I spoke about it again last night. We've seen each other naked before and have nothing to hide from each other."
"Very good.", replied the doctor as he wheeled a cart in front of Rob. The wheeled cart had a rather tall metal apparatus, with what looked like a pump at the bottom with tubes and wires emerging from one side and the top. The tubes ran up the rigging and looped back down toward the front of the cart. There was a thicker tube with a rounded cylinder on the end, a very thin tube with a flared end, and wires leading to what looked like a butt plug. Dr. Mitchell began unwinding the wires and tubes as Rob look a little worried.
Dr. Mitchell reassured him that he would explain everything as he set up the machine. "This is the seminal fluid collection system. I'll connect this to your penis so we can directly collect any fluids your reproductive system produces. Since we've already evaluated your sperm in your last few semen samples, we don't need you to ejaculate. If it happens, that's fine, but it isn't required."
"Good. I'm not sure I would be able to even get hard with all of this equipment around." Rob said with a slight smirk. "Why are there so many tubes?" he asked.
Dr. Mitchell continued to explain the setup. "Go ahead and lay back. Get comfortable." he said as he pulled stirrups out of the exam table. The paper crinkled under Rob's bare bottom as he shimmied into place. The doctor guided his feet into the stirrups, leaving Rob's ass exposed.
Dr. Mitchell scrubbed his hands at the exam room's sink and pulled on a fresh pair of exam gloves. "I'm going to lift your gown. OK, Rob?" Dr. Mitchell said as he lifted the gown exposing Rob's penis and testicles. "This isn't exactly an arousing situation, so this machine will stimulate your penis, but more importantly your prostate. Your body should react by producing fluids from the prostate and Cowper's gland as if you were aroused."
"And those are the fluids you will test?" Rob asked.
"Exactly." Replied the doctor. "I'm inserting this probe into your anus, Rob. It will send gentle pulses through your pelvic muscles to your prostate. The lubricant may be a little cold." He squirted a few drops onto the tip of the butt plug and pressed it to Rob's ass.
"Ooo! That
is
cold." Rob said with a start. His anus clenched at the intrusion and Dr. Mitchell pressed it a bit harder.
"I know it's difficult, but try to relax your anus, Rob." Rob took a breath and the plug slid into his anus with only a bit of resistance. Once the flared portion was through, it closed around the plug, holding it in place. Rob was able to feel it pressing on his prostate and his penis twitched.
"Good job." the doctor reassured, Rob as he reached for the next tube. "This is a special type of catheter. I'll insert this into your urethra, to directly collect your seminal fluid. This way, we don't need to worry about cups or collection dishes. The catheter is attached to this pump here." Dr. Mitchell pointed to a shiny metal portion of the cart.
"This may sting a little as I insert it, but your urethra will become used to having something inside it, fairly quickly." Dr. Mitchell said as he lifted Rob's penis and wiped the head with antiseptic. He then applied lubricant to the first few inches of the catheter and placed the tip of it into Rob's urethra.
"Ow..." Rob grunted as he bared down and gritted his teeth.
"I'm sorry, Rob. You're doing just fine." assured Dr. Mitchell. He slid the catheter deeper into Rob's penis until he was sure it was positioned just before the ejaculatory duct. Holding the catheter in place, he pushed the end of a small plunger on the other end of the tube, inflating the flared end just enough to keep it in place.
"OK, Rob. This last part is going to simulate masturbation. You insert your penis here and it uses vacuum suction to essentially masturbate you. We control the intensity so as to not bring you to climax. Like I said, it may happen and if it does, we'll ease up on the stimulation and let the pulses continue to work producing more fluid while you recover.
Dr. Mitchell reached up to the top of the cart's frame and slid the metal cylinder down along the length of the catheter. Stopping just above Rob's penis, he removed an insert of upper and lower rings, and a rubbery sheath. "Do you think you will be able to maintain an erection for the procedure?" he asked Rob.