With the aging process of society, elderly men gradually occupy the main part of urological patients, not only the proportion of various malignant tumors in elderly men is much higher than that of women, but also a series of diseases with lower urinary tract symptoms as the main manifestation due to the declining function of various systems and aging of organs gradually appear. Nowadays, health checkups have become very popular and can play a role in early diagnosis and early treatment. Some friends often ask: “If I take my dad to a medical checkup center, which tests are mandatory?” In fact, most medical checkup center packages can already meet the need for disease screening and can reflect the health status more systematically. If interpreted from the perspective of a urologist, the evaluation of the urogenital health of elderly men requires at least the following tests: 1. waist circumference and weight The old saying “a thousand dollars can’t buy you a thin old man” is still supported by modern medicine. Overweight and increased body fat will lead to a variety of diseases has been the consensus; at the same time, height loss and obesity is also an important signal of androgen deficiency, androgen deficiency often means the beginning of male “menopause”, the clinical ADAM scale can be used to self-test. 2.Urological ultrasound examination for men should include at least the kidney, ureter, bladder and prostate organs. If you have difficulty urinating or have difficulty passing urine, you should also test for “residual urine”. In other words, an ultrasound is done while holding urine, and then another ultrasound is done after emptying the urine as much as possible to see if there is any residual urine in the bladder. Nowadays, ultrasound technology is very mature, and diseases that frequently occur in the elderly include prostate hyperplasia, kidney cysts, and urinary tract tumors. However, 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 is usually elevated in patients with prostate cancer, and if the result is less 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 as a screening test for prostate cancer. It is recommended that men over 40 years old have their PSA checked once a year. 4. Blood test for kidney function Usually includes four or five items. If the result is abnormal, it means the kidney function is declining and needs active treatment or intervention. 5, urine test for urine routine Kidney and bladder diseases are often reflected in the urine routine, if there are red cells or even hematuria in the urine routine, do not take it lightly and be alert to the possibility of tumors; if urine protein is found, it is a signal of kidney function damage. 6, test blood pressure, blood lipids, blood sugar, blood uric acid If these results appear abnormal called metabolic syndrome, may lead to a variety of diseases in the whole body from the top to the bottom of the organs. Taking the urinary system as an example, an increase in uric acid can easily lead to gout, which can cause stones and can lead to damage to the kidney tubules; hyperlipidemia and diabetes are both prone to erectile dysfunction; diabetes can cause a decrease in bladder function or even a complete loss of the ability to contract. 7. Physical examination includes examination of penis and testicles, examination of hernia, and anal finger examination of prostate. These examinations seem to be simple but significant, however, they are often neglected in the usual physical examination. For example, penile cancer can be seen directly from the appearance; there are few testicular syringomyelia in elderly men; many patients have inguinal hernia due to the usual effort to urinate; and anal examination of prostate is an important method to identify benign prostate hyperplasia and prostate cancer. 8, the detection of the scale If there are often some symptoms or discomfort of the genitourinary system, there are some simple forms that can help us to assess the disease more accurately while telling the doctor about the condition. For example, the ADAM scale mentioned before, there are also forms specifically for detecting urinary frequency and urgency, urinary difficulty, pelvic pain, and erectile dysfunction. These forms can be obtained from a specialist and completed under their guidance.