Why Didn't We Do This Sooner? Urologist Shares What Surprises Him About Patients

Many men delay visiting a urologist out of embarrassment, leading to preventable health problems, says surgeon Ivan Polyansky.
Feb 4, 2026
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Urological surgeon Ivan Polyansky from Pasman Clinic.

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Pasman Clinic

A visit to the urologist still frightens many men. Even with discomfort and pain, they may postpone the unpleasant appointment and hope it will «go away on its own.» According to Ivan Anatolyevich Polyansky, a urological surgeon at Pasman Clinic, it is precisely shyness and a lack of reliable information that cause advanced problems that could have been avoided.

A doctor recommends regular preventive check-ups with a urologist for men.

Source:

Pasman Clinic

One of the most important signals requiring a doctor«s visit is any change related to urination. As soon as a person starts noticing this process, it»s a reason to make an appointment with a urologist. Ivan Anatolyevich also advises getting examined when starting a new relationship. If a couple does not plan to use condoms, both partners should first ensure they are healthy.

«Not everyone knows that to detect STIs, you can examine ejaculate or prostate secretion, not just a urethral swab. These are less uncomfortable methods for the patient, and in some cases, they are more accurate,» notes the urologist.

Various types of examinations are available at Pasman Clinic, and the doctor selects them individually based on the patient«s symptoms, lifestyle, and medical history.

Since not everyone is ready to openly discuss delicate problems, many myths persist in this area. For example, that a condom provides complete protection from infections. In reality, this is not the case; the risk of contracting an STI remains. Therefore, men who are sexually active should get tested regularly.

Doctor Polyansky named a second common misconception: having anal sex without a condom. According to the doctor, even in a stable couple, only protected contact is acceptable. Otherwise, there is a high chance of developing acute prostatitis and even serious complications due to high bacterial load.

Preserving men«s health and preventing problems from worsening is helped by prevention. While an annual visit to the gynecologist has long been the norm for women, the culture of regular check-ups is only taking shape among the stronger sex. Ivan Anatolyevich recommends all men get a semen culture for microflora once a year, get regularly tested for infections if they frequently change sexual partners, and always get checked after casual encounters.

At Pasman Clinic, appointments with a urologist take place in a delicate and confidential setting. The focus here is not only on treatment but also on prevention. An individual approach and detailed explanations help alleviate patients« fears and doubts. Intimate health is as much a part of self-care as sports or nutrition. And the sooner one understands this, the fewer reasons there will be for serious diagnoses later.

You can make an appointment at Pasman Clinic on the website or by phone at +7 (383) 390-25-84.

Pasman Clinic,
92 Karamzin St.;
1/1 Dzerzhinsky Ave., Office 12;
71/1 Blyukher St.;
Tel.: +7 (383) 390-25-84;
pasman-clinic.ru.

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