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Urologist
Last reviewed: 03.07.2025

A urologist is a doctor who specializes in the treatment of diseases of the male genital and excretory organs in men and women.
Who is a urologist?
A urologist sees men with reproductive system diseases, as well as women and men with excretory diseases. First, the urologist examines the lower back, abdomen, and scrotum. A clinical blood and urine test, bougienage, and cystoscopy may be prescribed. The urologist also prepares documentation for each patient.
The health of the genitourinary system is very fragile, at least once in a lifetime everyone encounters this doctor. Most often, frequent, painful urination or sexual disorders in men lead to the doctor. Prevention in urology is very important. Men need to see a urologist once a year, women, if there is no pathology - once every one and a half to two years.
A urologist treats decreased potency, inflammation and adenoma of the prostate, cystitis, pyelonephritis, and urinary incontinence. A woman should be alerted by pain when urinating and swelling. This could be pyelonephritis or cystitis.
What tests should you take when visiting a urologist?
When you see a urologist, you may need to do a variety of tests and investigations depending on the symptoms and problems you are experiencing. However, a urologist may typically order the following tests and investigations:
- General urine analysis (GUA): This test can detect urinary tract infection, inflammation, blood, protein, and other changes in the urine.
- Urine analysis according to Nechiporenko: This analysis is performed when hidden changes in the urinary system are suspected. It is more sensitive than the general urine analysis.
- Bacteriological examination of urine: Allows to determine the type of bacteria and their sensitivity to antibiotics in case of suspected urinary tract infection.
- Urine and blood creatinine levels: These tests help assess kidney function and detect signs of kidney failure.
- Ultrasound examination of the kidneys and bladder: Allows you to visualize the condition of the kidneys, bladder and ureters, to identify the presence of stones, tumors or other changes.
- Computed tomography (CT) or magnetic resonance imaging (MRI): Used to provide more detailed visualization of the kidneys and bladder if complex changes are present or tumors are suspected.
- Cystoscopy: This is a procedure in which a doctor inserts a thin, flexible tube (cystoscope) through the urethra to look inside the bladder. This may be necessary if bladder cancer or other abnormalities are suspected.
- PSA test (for men): This test is used to measure the level of prostate-specific antigen (PSA) in the blood. Elevated PSA levels can be a sign of problems with the prostate gland, including cancer.
These are general guidelines only, and specific tests and investigations may vary depending on your medical history and symptoms. It is important to consult with a urologist so that they can determine what tests you will need for an accurate diagnosis and treatment.
What diagnostic methods does a urologist use?
To diagnose various urological conditions, a urologist may use a variety of methods and tests, including:
- History and physical examination: The urologist begins by gathering information about the patient's medical and family history and performs a physical examination, including a digital examination of the prostate (in men), a digital examination of the bladder (in women), and an examination of the scrotum and genitals.
- Lab tests: These include a complete blood count and urine analysis, a urine test to check for infection, a urine test to check for blood, and other specific tests such as a prostate-specific antigen (PSA) test in men to screen for prostate cancer.
- Ultrasound (ultrasound): Ultrasound can be used to visualize organs in the urinary tract, such as the kidneys, bladder, and prostate. This helps identify abnormalities, tumors, stones, and other changes.
- Computed tomography (CT) and magnetic resonance imaging (MRI): These methods provide more detailed images of organs and tissues and are used to diagnose tumors, stones, and other pathologies.
- Radiography: Radiography using a contrast agent (urography) may be performed to evaluate the urinary tract.
- Cystoscopy: This is a procedure in which a flexible or rigid instrument with a camera (cystoscope) is inserted into the bladder to visually examine the inside of the bladder.
- Biopsy: If a tumor is suspected in the prostate or other organs, tissue samples may need to be taken for biopsy and testing.
- Urodynamic testing: This test is used to evaluate the function of the bladder and urethra and may help identify urinary problems.
The urologist selects appropriate diagnostic methods depending on the patient's symptoms and suspected disease. The diagnostic results allow the urologist to establish an accurate diagnosis and develop a treatment plan.
What does a urologist do?
A urologist studies diseases of the genitourinary system, including kidneys and bladder. He treats not only men but also women, so it is a mistake to consider him only a male doctor. It is more correct to call a male urologist an andrologist. He treats prostatitis, bladder in men and urolithiasis. A female urologist treats only kidneys and bladder in women, and diseases of the genital organs are treated by a gynecologist. You may be forced to see a urologist by burning when urinating, lower back pain (where the kidneys are located), male infertility and sexual problems.
What diseases does a urologist treat?
A urologist deals with drug and surgical treatment of urolithiasis, inflammation of the kidneys and renal pelvis. Cystitis is the most common urological disease in women. It is accompanied by urinary incontinence. A urologist also treats adrenal pathologies together with an endocrinologist, male infertility. Burning during urination, blood in the urine and colic in the abdomen and lower back are a reason to sound the alarm. At the appointment, the doctor first gets acquainted with the anamnesis, asks about the nature of the complaints, prescribes additional tests, ultrasound and treatment based on the results.
Advice from a urologist
A urologist's advice may depend on the specific problems or conditions the patient is experiencing. Here are some general tips a urologist may give:
- Practice good hygiene: Regular care of your genitourinary system is important to prevent infections and other problems. A urologist can recommend proper hygiene practices.
- Drink enough water: Your urologist may advise you to stay well hydrated to help prevent kidney and bladder stones.
- Watch your diet: Diet can play an important role in your urinary health. A urologist can provide advice on diet management, especially if you have problems with kidney stones or other medical conditions.
- Get checked regularly: Regular checkups with a urologist can help detect diseases in their early stages. This is especially important for men, who may need screening for prostate cancer.
- Avoid bad habits: Drinking alcohol and smoking can negatively affect the health of the genitourinary system. A urologist may recommend avoiding these bad habits.
- Manage stress: Stress can have a negative impact on your genitourinary health. A urologist can provide advice on stress management and stress-relieving techniques.
- Follow treatment recommendations: If you already have a diagnosed genitourinary disease, your urologist will provide recommendations for treatment and monitoring of the condition.
- See a doctor at the first symptoms: If you experience symptoms such as pain, frequent urination, changes in urine, you should immediately contact a urologist. Early detection and treatment of diseases often increase the chances of recovery.
It is important to remember that the specific advice your urologist gives will depend on your medical history and individual needs. Regular consultations with your urologist can help maintain your genitourinary health and prevent the development of serious conditions.
What is the difference between a urologist and a nephrologist?
A urologist and a nephrologist are two different specialists who treat diseases of the genitourinary system and kidneys, respectively. Here are the main differences between them:
Urologist:
- Area of expertise: A urologist treats diseases of the genitourinary system in both men and women. This includes organs such as the kidneys, bladder, ureters, urethra, prostate gland in men and organs of the genitourinary system in women.
- Conditions: A urologist can treat a wide range of conditions, including urinary tract infections, kidney and bladder stones, genitourinary abnormalities, kidney cancer, prostate cancer, and other genitourinary conditions.
- Procedures and surgeries: A urologist can perform surgeries such as stone removal, prostate resection, correction of genitourinary anomalies, and other genitourinary surgeries.
Nephrologist:
- Area of expertise: A nephrologist specializes in the treatment of kidney diseases and the management of conditions related to kidney function.
- Diseases: A nephrologist treats conditions such as chronic kidney failure, acute kidney disease, hypertension, protein in the urine, diseases associated with immunological disorders of the kidneys, and other kidney diseases.
- Diagnosis and management: A nephrologist diagnoses kidney disease, monitors kidney function, determines the stage of kidney failure, and recommends treatment and management of kidney disease. They may also prescribe dialysis or prepare patients for kidney transplantation.
It is important to note that a urologist and a nephrologist may work together to treat some conditions, as the genitourinary system and kidneys are often interconnected. If you have problems with your genitourinary system or kidneys, it is recommended that you see a doctor to get the right advice and treatment.