i wouldn't say anything. in the office where i work, confidentiality is not a priority. i am aghast at how easily info is exchanged on the floor and the reception area. i'd just try to go into it, relaxed, and trust that the urologist is a professional and if your T needs to talk to him, then he can be told. most doctors are very strict about confidentiality...it's just that one i work for is an idiot. i quit friday. anyway, best of wishes to you from me and my group.....xoxo pat