Years ago there was a very powerful advertising slogan – “In fact, men need more care”. As a urologist, this experience is more profound. With the aging process of society, elderly men gradually occupy the main body of urology patients, not only all kinds of malignant tumors elderly men have a much higher proportion of disease than women, and due to the function of the various systems of the decline and organ aging, a series of lower urinary tract symptoms as the main manifestation of the disease is also gradually appeared. Nowadays, health check has been very popular, which can play the role of early diagnosis and early treatment. A friend often asks, “If I take my dad to a medical checkup center, which tests are necessary?” In fact, most of the medical checkup center’s package items can already meet the needs of disease screening, and can reflect the health status of the body in a more systematic way. If interpreted from the urologist’s point of view, the evaluation of the genitourinary health of elderly men requires at least the following aspects of the examination: 1. Waist circumference and body weight: the old saying goes, “Thousands of gold can’t buy you thinness in old age”, and modern medicine still supports this reasoning. Overweight and increased body fat will lead to a variety of diseases has been a consensus; at the same time, height loss and obesity is also an important signal of androgen deficiency, androgen deficiency often means that the male “menopause” began to appear, clinically can be used ADAM scale can be self-testing. 2, urinary ultrasound examination: male urinary ultrasound examination should at least include the kidney, ureter, bladder, prostate organs. If there is usually poor urination or difficulty in urination, you should also test the “residual urine”. In other words, an ultrasound is done while holding the urine, and then another ultrasound is done after the urine has been emptied as much as possible to see if there is any residual urine in the bladder. Ultrasound technology is now very sophisticated, and diseases that are often seen in older people include prostate hyperplasia, kidney cysts, and urinary tract tumors. But the effect of diagnosing prostate cancer through ultrasound is not good. 3.Blood test for PSA: This is an indicator that can reflect prostate tumor. The serum PSA level of patients with prostate cancer usually rises, and if the result is lower than 4ng/mL, the risk of developing prostate cancer is low. In Europe and the United States, prostate cancer ranks first in the incidence of male tumors, and PSA is usually used for prostate cancer screening. It is recommended that men over 40 years old should check PSA once a year. 4. Blood test for kidney function: it usually includes four or five items. If the result is abnormal, it means that the kidney function is decreasing and needs active treatment or intervention. 5, urine test and urine routine: kidney and bladder diseases are often reflected in the urine routine, if there are red blood cells or even hematuria, do not take it lightly, and be alert to the possibility of tumors; if you find urinary protein, it is a signal of kidney function damage. 6, test blood pressure, blood fat, blood sugar, blood uric acid: if these results are abnormal called metabolic syndrome, which may lead to a variety of diseases of the whole body from top to bottom organs. Take the urinary system as an example, an increase in uric acid can easily lead to gout, which can trigger stones and can lead to damage to the renal tubules; hyperlipidemia and diabetes are both prone to erectile dysfunction; diabetes can cause a decrease in the function of the bladder, or even a complete loss of the ability to contract. 7, physical examination: including examination of the penis and testicles, hernia examination, anal fingerprinting of the prostate. These examinations seem to be simple, but they are of great significance, however, they are often neglected in the usual physical examination. For example: penile cancer can be seen directly from the appearance; testicular sheath effusion in elderly men is not few; many patients will cause inguinal hernia due to the usual effort of urination; and anal diagnosis of prostate is an important method to identify benign prostatic hyperplasia and prostate cancer. 8, the test of the scale: if often appear some genitourinary symptoms or discomfort, in the doctor about the condition at the same time, there are some simple forms can help us more accurately assess the disease. For example, the ADAM scale mentioned before, there are also forms specifically for detecting urinary frequency and urgency, urination difficulties, pelvic pain, erectile dysfunction, etc. These forms can be obtained from a specialist and filled out under their supervision.