Urologists are specialist doctors who provide medical and surgical treatment to anyone with a disorder of the kidney, urinary tract, bladder and urethra. Urologists also treat disorders of the male sex organs.
A urologist might treat bladder problems, urinary tract infections (UTIs), bladder and kidney cancer, kidney blockage, and kidney stones. Men might also see them for: Erectile dysfunction (ED) Enlarged prostate gland.
Andrology is a medical specialty which deals with the male reproductive system and urological problems found only in men. Andrology is the direct equivalent of gynaecology, but unlike gynaecology, it is not widely recognised as its own distinct speciality.
Physicians who specialize in men's sexual and reproductive health care — including the diagnosis and treatment of disorders of the male sex and reproductive organs — are called urologists. You can visit a urologist if you're experiencing any problems with your sexual or reproductive health.
feel like themselves," she says. "In this particular case ... all of the patients for OB-GYNs are women." Among practicing OB-GYNs in the U.S., a little fewer than half are men, according to the American Congress of Obstetricians and Gynecologists.
You may make an appointment or get a referral to a urologist if you have: Trouble urinating (peeing), including getting started or having a strong flow of urine, pain, cloudy urine or blood in the urine. Changes in urination, like frequent urination or feeling like you always have to go.
The urologist may want to check blood counts, kidney function, or test PSA (prostate-specific antigen) or testosterone levels. Your urologist may order imaging studies. This can include sonography of the kidneys, the bladder, and/or the prostate; or an imaging scan to visualize specific organs.
While your gynecologist can treat certain conditions related to the urinary system, such as a urinary tract infection (UTI), they may refer you to a urologist if you experience recurrent UTIs or have other symptoms that indicate something is affecting your urinary tract.
Gynecologists often provide essential treatment that men cannot easily obtain from other practitioners—for example, high-resolution anoscopy (HRA). The incidence of anal cancer is increasing in both women and men and is especially high in HIV-infected men who have sex with men (5).
Some patients like visiting a male gynaecologist since they are compassionate, open-minded and friendly, allowing them to be more comfortable discussing their reproductive health and disclosing sensitive issues, such as painful intercourse, abnormal vaginal discharge and sexually-transmitted disease.
The doctor will perform a male genitourinary exam during your first appointment. That is a complete examination of the urinary tract region. The physician will perform a genital exam and a digital rectal exam to explore the prostate. The urologist may evaluate other areas as well.
In general, a prostate exam includes a PSA blood test (which measures the level of prostate-specific antigen in your blood) and a digital rectal exam (DRE). During the digital rectal exam portion, your healthcare provider carefully inserts their gloved finger (digit) into your rectum.
Enlarged Prostate (BPH): Having an enlarged prostate is one of the most common issues for men, especially older men. This condition is called Benign Prostatic Hyperplasia or BPH. BPH occurs when the prostate, a walnut shaped gland located between the bladder and urethra, becomes enlarged, making it hard to urinate.
With TURP, a urologist inserts a resectoscope through the urethra to reach the prostate and cuts pieces of enlarged prostate tissue with a wire loop. Special fluid carries the tissue pieces into the bladder, and the urologist flushes them out at the end of the procedure.
your genitals are cleaned with an antiseptic and a sheet is placed over the surrounding area. the cystoscope is inserted into your urethra and gently moved along towards your bladder. water may be pumped into your bladder so your doctor or nurse can see inside it more clearly.
The actual cause of prostate enlargement is unknown. Factors linked to aging and changes in the cells of the testicles may have a role in the growth of the gland, as well as testosterone levels. Men who have had their testicles removed at a young age (for example, as a result of testicular cancer) do not develop BPH.
A colonoscopy presents an ideal opportunity for physicians to use a digital rectal examination to assess for prostate cancer. Physicians performing colonoscopies in men 50 to 70 years of age should pay special attention to the prostate while performing a digital rectal examination before colonoscopy.
√ You should take any tablets/medicines prescribed under medical advice as usual (diabetics should take their tablets as usual on the day of admission). √ If you are having a flexible cystoscopy, you do not need to shave.
Urinalysis. The most common urine test performed is a urinalysis. In fact, in most yearly physical exams, urinalyses are done even if there is no cause for concern.
Red Flag/Urgently refer patients if:
A suspicion of prostate or bladder cancer see 2WW referral. Storage symptoms in a heavy smoker. Chronic retention which may present as night time enuresis / over flow incontinence and/ or painless palpable bladder needs renal function checking and refer urgently.
It is usually done by urologists to give detailed images of the kidneys, ureters, and bladder. The CT scan takes 10-30 minutes. You may be given a drink or injection of a dye, which allows particular areas to be seen more clearly.