What is the ruling on a doctor touching the private parts and impurities out of necessity?

Question:
What is your opinion, Your Eminence, regarding the fact that a doctor’s work sometimes requires seeing the patient’s private parts, or touching them for examination? And sometimes, during surgeries, the surgeon works in an environment full of blood and urine. Is it obligatory to renew the ablution in these cases, or is it not required of him?

Answer:
There is no harm in a doctor touching a man’s private parts out of necessity, or looking at them for treatment, whether it is the anus or the penis. He looks out of necessity and dire necessity. There is no harm in touching blood if the need requires touching the wound to remove [something] or to know the condition of the wound. He washes his hand afterwards from what has affected it, and his ablution is not invalidated by touching blood or the body.
But if he touches the private parts—touching the genital area, touching the penis and the anus—his ablution is invalidated. However, if he touches the body or the testicle only, his ablution is not invalidated. But whenever he touches the penis without a barrier—meaning: flesh touches flesh—his ablution is invalidated; due to the saying of the Prophet (peace and blessings be upon him): .
Likewise, if a female doctor touches a woman’s genital area out of necessity, her ablution is invalidated. There is no harm in touching a woman’s genital area out of necessity for treatment—the anus or the front for necessity. And if she touches it without a barrier, such that flesh touches flesh, and she is in a state of ablution, the ablution is invalidated. She does not pray except after ablution; due to the saying of the Prophet (peace and blessings be upon him): , and in the other hadith: . And if a person’s genital area requires ablution, then touching another person’s genital area is even more so; because it is a stronger private part. But the presence of impurity does not invalidate the ablution. His approaching the impurity or touching it with his hand for the wound, or in the genital area, does not invalidate the ablution, except from the aspect of touching. If he touches the genital area and there is a barrier on his hand, the ablution is not invalidated. Likewise, if a female doctor has a barrier on her hand when touching the genital area, the ablution is not invalidated.