Initial examination by a urologist. Examination by a urologist: basic procedures before going to the doctor

In order for the doctor to be able to conduct all kinds of diagnostic tests within one appointment, it is necessary to properly prepare for the examination.

Before going to the doctor, you should not have sex 2 days before the hike.
The day before and on the day of the appointment, give a cleansing enema, for which you can use tap water or purchase Microlax at the pharmacy.
Prepare in advance a list of complaints and questions for which you would like to receive answers from a specialist.
Remember what medications you have taken recently.
If you have recent tests, consultations, prostate ultrasound and other studies with ready results, you should take them with you so that the doctor can review them.

Where to find a urologist

Of course, to solve such a delicate problem as the treatment of prostatitis, most men want to see a more experienced doctor. If the patient is not limited in money, then it is better to go to a private clinic with a good reputation. The advantage of this choice is the opportunity to undergo a full examination here. But, first, to save money, you can get an initial consultation at your place of residence in your clinic. And then, based on the results of the doctor’s conclusion and the tests completed, one can judge the competence of this specialist.

Why does a urologist check the prostate?

According to statistics, the frequency of complications in men associated with inflammation of the prostate gland increases every year. A prostate examination at an appointment with a urologist is included in the list of mandatory procedures for men over forty years of age.

A timely ultrasound scan of the prostate can detect the development of pathology in the early stages.

What does a urologist do during an appointment?

Before going to the doctor, men are interested in how the prostate is examined by a urologist. During the visit, the doctor finds out the patient’s complaints and collects anamnesis. To present the general picture of the disease, he examines the patient, palpates the male genitals and checks the prostate.

To get a complete picture of the patient’s condition, the doctor prescribes additional studies:

endoscopic examination of the kidneys;
histological examination of affected tissues;
cystoscopic examination of the urethral mucosa;
conducting an MRI or CT scan;
bladder catheterization to determine residual urine volume;
blood chemistry.

When examining a man, the doctor pays attention to the following:

in what condition are his external genitalia;
whether or not there is enlargement of the inguinal lymph nodes;
by feeling the prostate gland with a finger, assesses its condition. If a pathology is suspected, an ultrasound of the prostate is prescribed.

Examination of the patient is important for timely diagnosis of the development of hyperplasia with degeneration into a malignant form. What is the peculiarity of therapy in the early stages of development of the inflammatory process? The fact is that the disease is amenable to drug treatment with further restoration of the functioning of the prostate gland.

Examination by a urologist

At the appointment, the attending physician must evaluate the condition of the prostate gland.

For examination, the patient lies on his side, tucking his knees.
A doctor wearing sterile gloves, having previously treated the patient’s anus with petroleum jelly, inserts his index finger into the patient’s rectum, simultaneously palpating and massaging the prostate.
During prostate massage, secretions are released from the urethra in men. The doctor takes the urethral secretion to examine for the presence of inflammation and to determine sexually transmitted infections.

Symptoms of the inflammatory process:

Identification of components and seals;
severe pain when palpated;
the presence of immobility of the gland, changes in its size, as well as the boundaries of its location.

If a man experiences an erection during a prostate massage, this is a sign of a physiological reaction, which indicates the absence of pathology on the part of the reproductive system. In this case, no additional manipulations are required.

Urologist: treatment of diseases

If the cause of the inflammatory process is an infection, then antibacterial and anti-inflammatory therapy is prescribed. In the absence of proper treatment for prostatitis, urethritis or cystitis, complications may develop that lead to the production of male sex hormones.
For prostate adenoma in the early stages of the disease, drug treatment with antiandrogen drugs is carried out. In advanced cases, surgical intervention is resorted to.
Violation of potency (impotence). Potency in a man is the ability to perform sexual intercourse. If this function is weakened, then the cause must be sought not only among pathologies in the genitourinary system, but also among other diseases. Treatment of impotence requires identifying and eliminating the cause of the pathology. One possible reason is a decrease in testosterone levels in the blood.
Premature ejaculation can develop in the absence of treatment for organic lesions of the genitourinary system.
Treatment of male infertility is aimed at identifying and eliminating the causes of decreased fertility.

Prostate massage by a urologist

When drug treatment is not sufficient to cure prostatitis, a urologist may recommend prostate massage.

During the procedure, blood circulation in the gland increases. This promotes better penetration of antibiotics into the organ. The production of secretion and its release from the gland are also stimulated.

As a result, the patency of the prostate ducts is restored. This makes it possible to treat prostatitis more effectively and has a beneficial effect on the outcome of the disease.

At the end of the course of therapy, a control urological examination of the patient is required:

(ultrasound) ultrasound diagnostics of the prostate;
a control smear for culture determines the presence or absence of infection. It is recommended to take a smear two weeks after the end of the course of treatment. If the results of the smear and blood test are good, you can judge the correctness of the treatment.

If you need a urologist, contact competent specialists.

Despite the widespread belief that a urologist treats exclusively male diseases, this statement is fundamentally incorrect. Urology specializes in the study and treatment of pathologies of the reproductive and genitourinary systems in women. It comes in two types: female and male, and studies the pathologies of systems such as the urethra, adrenal glands, kidneys, ureters, prostate gland, and external genitalia. Let's figure out what a urologist treats in men?

Who is a urologist?

A urologist is a doctor who specializes in the treatment of abnormalities of the urethra, diseases of the kidneys, ureters, prostate gland, and reproductive system. Before visiting a urologist, find out what the doctor treats for men. He treats:

prostatitis;
phimosis;
cryptorchidism;
papillomas;
STIs;
genital injuries;
impotence;
oncology;
cystitis and pyelonephritis;
urinary incontinence;
vesiculitis, urethritis;
sexual disorders;
inflammation of the head of the penis;
inflammation of the kidney tissue;
diseases of the bladder, urinary tract.

Important: Men over 40 years of age are more at risk of prostatitis and sexual disorders. Therefore, it is recommended to be examined by a urologist at least once a year.

What is urology?

Urology is a field of clinical medicine; it specializes in diseases of the urinary system and genital organs, and also develops methods for their treatment and prevention. Urology itself is not the main field. And this is due to the fact that science is based on related disciplines. This area is divided by gender into male, female, and pediatric urology:

To better understand what urology is, you need to understand what science studies. She studies the following diseases:

andrology (male urology);
urogenicology (female urology);
pediatric urology (developmental defects and pathologies of the genitourinary area in children);
geriatric urology (urological diseases in advanced age, when the immune system is weakened and muscle tone decreases);
physiourology (tuberculosis of the kidneys, bladder, genitals);
oncourology (malignant formations);
emergency urology (life-threatening conditions: renal colic and acute urinary retention).

If you have any symptoms, you should contact a urologist?

To find out why you need to visit a urologist, who he is and what he treats, you should find out in what cases you contact him. A urologist is consulted when:

painful trips to the toilet;
swelling, pain in the genital area;
decrease in urine output;
frequent urge to urinate;
itching when going to the toilet;
colic in the kidney area;
painful sensations in the lower back;
sexual disorders;
sexually transmitted infections;
the appearance of impurities and purulent formations in the urine;
swelling and deformation of the genital organs.

Important: Often such symptoms are accompanied by high fever, chills, loss of appetite, constant fatigue, and drowsiness. But in a chronic course, these signs are mild or absent.

How is the examination carried out for men?

The ultimate task of the urologist is based on making the correct diagnosis and providing appropriate treatment. Before visiting a urologist, let’s consider not only who he is, but also what exactly is included in the field of activity of this medical specialist. The work of a urologist includes several stages.

Preparation for inspection

Avoid sexual intercourse the day before your appointment.
Empty your bowels and bladder.
Keep your genitals clean and do not use antiseptics before visiting your doctor.
Be mentally attuned to intimate issues.

Reception of patients

The doctor questions the patient in detail; it is important for him to find out the patient’s lifestyle, the onset of the disease, symptoms, signs, and painful sensations. The doctor conducts a general examination of the lumbar region, abdomen, and external genitalia. An important role during the examination is given to digital rectal examination. The urologist checks the scrotum, rectally examines the prostate, and palpates the kidney.

Diagnostics

To establish an accurate diagnosis, the specialist prescribes additional testing and gives directions for urine and blood tests. These tests provide fairly comprehensive information about your health status. The color, sediment, and the presence of protein impurities in the urine can suggest the presence of an existing disease. If the level of leukocytes and ESR is increased, this indicates an inflammatory process in the patient’s body.

The urologist also prescribes instrumental examination:

Cytoscopy is an examination of the bladder using a cytoscope. The instrument is inserted into the urethra, the specialist carefully examines the urinary organ to identify inflammation and various neoplasms.
Urethroscopy. It is carried out to study the urinary canal.
Urography allows you to detect any abnormalities associated with the functioning of the kidneys and genitourinary system.
Cystography. A colored substance is injected into the bladder, with the help of which the shape and walls of the organ become visible. This procedure allows you to identify tumors, stones, and other pathologies.
Angiography. The procedure is aimed at examining blood vessels.
Ultrasonography.

Carrying out therapeutic measures

Who is a urologist and what does he treat? Many men ask this question. A urologist provides conservative and surgical treatment to patients diagnosed with diseases of the genitourinary system. This is the most responsible, main part of his work. For inflammatory pathologies (cystitis, urethritis, pyelonephritis, prostatitis), antibacterial, antispasmodic, and anti-inflammatory drugs are prescribed. Surgical intervention is required when phimosis, cryptorchidism, and neoplasms are detected. If oncological pathologies are detected, radiation and chemotherapy are prescribed.

In addition, the urologist prescribes:

massage, vacuum drainage of the prostate;
darsonvalization of mucous membranes;
magnetic laser, radiofrequency therapy;
lithotripsy.

A urologist is a specialized specialist who is rarely consulted. However, regular examination by a urologist will prevent many diseases.

Many male patients are embarrassed to seek advice from specialists due to the sensitivity of the examination. At an appointment with a urologist, you can identify the main inflammatory diseases that threaten your health. How to prepare for the examination and why annual prostate checks are needed - read our article.

Subspecialists help to most accurately diagnose the cause of the patient’s anxiety. If you have problems with hormones, you should visit an andrologist or endocrinologist; women turn to a gynecologist, men - to a urologist.

However, you should not refer the specialist only to a male doctor. A urologist is a universal doctor who helps to identify and cope with urinary tract pathologies for men and women. When contacting a general practitioner, he will refer a patient with symptoms of pain in the penis, appendages and problems with urination to a urologist.

A special mention can be made of a pediatrician. There is a urologist for adults and for children. This division is due to physiological and anatomical differences in the structure of organisms.

The science of urology belongs to the category of surgical specializations. Therefore, you can receive emergency surgical care directly at an appointment with such a specialist. The urologist also performs some types of physiotherapeutic procedures directly during the examination.

Scheduled inspections

To maintain the health of the pelvic organs, it is recommended to undergo annual preventive examinations. Women without need and without visible symptoms of the disease do not need to visit a urologist.

In men, most diseases occur in a latent form. This is the first reason why you should visit a specialist regularly. Such a check will help detect the development of the disease at the initial stage and stop it.

What is included in the scheduled annual inspection:

taking urine and blood tests;
rectal examination of the prostate;
additionally: checking the kidneys, bladder, lymph nodes.

Most urological diseases in the early stages do not manifest any visible symptoms, and very often the time for their timely treatment is missed. Therefore, we recommend that healthy men without complaints contact a urologist for an examination for the first time at the age of 14 and then annually.

According to indications

If a man or woman has previously been diagnosed with developmental pathologies of the urinary tract, then they will have to visit the urology office more often. To control the development of the disease and prolong the stage of remission of the disease, strictly follow the doctor’s recommendations.

Indications for visiting a doctor:

chronic diseases of the genitourinary system;
secondary manifestation of prostatitis in men;
problems with urination of any form;
neoplasms on the prostate gland, bladder, kidneys;
cancer diseases;
congenital structural defects and developmental anomalies.

In this case, you will have to contact a urologist more often than once a year. It is recommended to undergo testing, including laboratory diagnostics, at least once every 3-4 months.

What complaints do people go to a urologist with?

If men need to undergo an examination of the genitourinary system by a urologist, then women more often turn to a gynecologist with such a problem. But there are complaints common to both boys and girls. In this case, you should not risk your health and urgently need to make an appointment.

The main complaints with which people seek advice and treatment from a urologist:

Suspicious in men. If a woman detects similar symptoms, she will seek help from a gynecologist. Discharge from the urethra can be either within normal limits or a sign of sexually transmitted diseases. They may be associated with inflammation in the excretory canal and prostate after hypothermia. It may also be a complication of any disease in other organs. The urologist will prescribe bacteriological culture, PCR tests and ultrasound of the prostate.
Itching and burning in the urethra. This is an almost universal symptom that can indicate the presence of many diseases. However, with periodic manifestations, one can suspect an allergic reaction to latex, lubricant, or a manifestation of prostatitis or infection. Only a doctor can determine the cause of the discomfort.
The appearance of pain syndrome. The pain can be felt in the groin area, in the testicles, on the head of the penis, around the anus, and even radiate to the lower back. There are many reasons for such pain: from yesterday’s cycling workout to the development of a benign or malignant tumor.
Problems with urination. Both women and men turn to a urologist regarding this issue. This sign indicates problems with the kidneys, a slowdown in metabolism, or age-related changes in the body. In men, this is how the initial stage of prostatitis manifests itself, which, if left untreated, can become chronic.
The presence of blood in urine or semen, as well as other impurities. This is a dangerous sign indicating the presence of an advanced inflammatory or infectious process. The appearance of pus or blood is a symptom of a chronic disease, benign hyperplasia of impressive size, or even cancer.
The appearance of rashes, sores, erosions or spots. In this case, the man should take care of genital hygiene and urgently contact a urologist to check for infection. Rashes, redness and the appearance of strange spots are signs of STDs (sexually transmitted diseases).
Development of erectile dysfunction. When libido decreases, men are often embarrassed to see a doctor. But in vain, because impotence develops rapidly and, if measures are not taken, becomes irreversible. In this case, the specialist looks for the cause of sluggish potency or its absence. The problem may be deeper, associated with a violation of the hormonal system, diseases of the blood vessels, internal organs or the genitourinary system. Even psychological problems cause dysfunction.
Astheno-vegetative syndrome in men. With such a problem, you can also go for a urological examination. This syndrome is manifested by increased fatigue, decreased performance, irritability, psychological instability, sweating, tachycardia and general apathy.
Suspicion of the presence of a disease. You can ask the urologist any delicate questions that concern you: small penis size, lack of ejaculation, complaints of pain, or... Even if the pathology turns out to be far-fetched, it is worth checking your suspicions.

It is important to monitor your health, even if there are no open problems with the urinary organs. Sometimes, due to age-related changes, issues with potency and urination appear. In this case, the urologist will help you choose maintenance therapy.

List of urological diseases

Among the diseases of the excretory system there are exclusively male pathologies and general diseases. Universal ones include cystitis and urethritis, which also occur in women. Due to the anatomical differences in the structure of the genital organs, specific pathologies arise in men.

List of the most common urological diseases in men:

Erectile disfunction. These are problems with penile hardness, when the area of the cavernous penis is not filled with arterial blood to the extent to ensure a full erection. Most often, the disease appears in men over 45 years of age, smokers and patients with diabetes.
. Problems with the prostate gland are observed in 70% of older men on the planet. This can cause the glandular tissue to enlarge, interfering with normal urination and, in some cases, causing decreased fertility.
Phimosis. This is a narrowing of the foreskin. In boys under 3 years of age, the head is hidden behind the fold of the penis; it begins to emerge by the age of six. At the initial stage, the patient feels pain due to the inability to freely retract the foreskin. The latter will require surgery to free the head.
Balanoposthitis. This is an inflammatory process on the head of the genital organ. Suspicious rashes and ulcers appear on the mucous membrane and skin. The disease can be either a consequence of an untreated infection or a cause of the development of phimosis (narrowing of the foreskin).

This list can be continued for a long time. Developmental defects are less common; in some cases, priapism occurs - a prolonged erection. Often, diseases of the urinary organs become a consequence of drug treatment.

Common diseases that occur in men and women:

Enuresis. This is urinary incontinence, which can be partial or complete. It occurs in both sexes and can occur at any age. In women, it often occurs after childbirth and goes away without treatment after a few days. The cause in most cases is nervous tension or defects in the anatomical structure.
Cystitis. This is an inflammation of the bladder, which is manifested by a burning sensation in the urethra when urinating. In its acute form it can cause severe pain. This pathology especially often worries girls of preschool and primary school age.
. An inflammatory process occurring on the mucous membrane of the urinary tract. The symptoms are similar to cystitis, the treatment regimen is also practically the same.
Pyelonephritis. This is a bacterial disease caused by microorganisms entering the kidneys, which causes an inflammatory process. The danger of this disease is that the infection can spread through the urinary tract.

Do not self-medicate. Therapy is prescribed only based on the results of laboratory tests and depending on the identified pathogen. Antibacterial agents are selected depending on the sensitivity of microorganisms to drugs.

Independent experiments on the body can only worsen the situation. Remember that most urological diseases are sexually transmitted. It is recommended to use a condom during sexual intercourse to avoid infection.

Preparing for your appointment

An examination of a man or woman by a urologist usually takes no more than 15-20 minutes. During this time, the doctor will question the patient, examine the organs of the urinary system, and possibly perform an ultrasound.

General requirements before examination by a urologist:

avoiding sexual intercourse 24 hours before visiting a urologist;
refusal to take painkillers for an accurate diagnosis;
refusal to pre-use antibacterial agents.

The use of analgesics may interfere with localization of pain. The doctor will not be able to make the correct diagnosis. For a similar reason, you cannot perform genital hygiene before examination using disinfectants (Chlorhexidine, Furacilin). The result of bacteriological culture in this case will be incorrect.

In some cases, a gynecological chair is used to examine women. Therefore, do not forget to bring a diaper with you for examination. The day before your visit to the doctor, you should avoid sexual intercourse to avoid extraneous lubricant secretions.

The man needs to cleanse his rectum so that the doctor can perform a digital examination of the prostate. Do not be scared or embarrassed by the erection that occurs during such an examination - this is normal. It's worse if an erection does not occur. A cleansing enema can be replaced by taking a laxative the day before.

How is an examination by a urologist performed?

Many patients are concerned about what they do at an appointment with a urologist. Many men avoid prostate testing because rectal palpation hurts their masculinity and degrades their dignity.

Examination of the prostate gland is purely a medical matter. More problems with embarrassment occur in adolescent patients. Some experts recommend taking a few drops of an herbal valerian-based sedative before a routine examination.

At the same time, the doctor studies your outpatient card, looks at tests, the results of which should be pasted into it. If the appointment is primary, the urologist will definitely prescribe, some of which can be taken directly in the office.

Men

Examination of men differs from palpation of internal organs of women. Follow the requests of the doctors; you can inform them in advance that the examination is primary.

How a man is received:

Palpation. The patient lies down on the couch, and the doctor manually examines the internal organs of the abdominal cavity and kidneys. Severely enlarged organs can be detected at this stage of palpation examination. The specialist also examines the condition of the internal and external genital organs. These are the scrotum, penis, prostate gland and inguinal lymph nodes.
Rectal examination of the prostate gland. Can be performed standing or in a knee-elbow position. The doctor inserts a finger into the rectal area to feel the condition of the prostate; in some cases, an ultrasound probe is used for this.
Collection of tests. If a bacterial infection is suspected, a urologist can take a general smear from the urethra, which will help identify the presence of microorganisms. A sample of the prostate is also taken during the examination, if necessary.

Examination of the prostate in men can cause pain only in the presence of acute prostatitis. In other cases, the procedure is painless. Put aside your embarrassment, since preserving your health is more important than your damaged male honor.

Women

In some cases, in the urologist’s office you may notice the presence of a gynecological chair. But in very rare cases, a specialist examines a woman’s genital organs. The appointment is a little different from a men's health check.

Stages of urological examination of women:

Conversation. The patient reports her problems, describes the symptoms that bother her. The doctor also examines the woman’s medical history and the presence of other diseases. You should tell your urologist about all suspicious manifestations of abnormalities in the urinary system.
Palpation. The doctor will ask you to lie down or conduct an examination in a standing position. Palpation of the pelvic organs occurs: bladder, kidneys. The condition of the lymph nodes is also examined.
Instrumental research. If necessary, the urologist uses modern diagnostic tools such as ultrasound, laboratory tests, instrumental and endoscopic methods.

In the same way as in men, urethral secretions are collected. The main difference is the lack of examination of the female genital organs and prostate gland, since women do not have a prostate. Instrumental diagnostics are carried out only in case of obvious manifestation of symptoms and medical suspicion of the presence of a pathogenic development of the disease.

Sometimes, at an appointment with a urologist, men become isolated and cannot talk about sensitive problems. One of the most common reasons for this is when a man is examined by a woman's urologist.

Even though medical issues are being resolved in the specialist’s office, the man is seized with panic. From a psychological point of view, the patient does not want to show his weaknesses.

Advice for a man if the urologist is a woman:

Think about your health. First of all, you did not come to flirt, get acquainted or start a family in the urology office, but to solve your problem.
The doctor saw something different. Remember that a urologist examines a huge number of patients every day, and in 20 minutes another shy man will see her.
Medical ethics. A doctor does not have the right to talk about small penis size and disseminate information about the presence of diseases.

Calm down and go into the doctor's office with confidence. If a urologist is a woman, this does not mean that she is a bad specialist. Trust her medical instincts, do not discriminate based on gender, and follow your doctor's instructions.

Knowing what a urologist checks for men, you can prepare both physically and psychologically in advance. Also at the appointment, the urologist may use additional instrumental diagnostic methods. The most common types are described in the table.

Additional urological procedures	Description and types
Endoscopic methods	A method that allows you to examine the urethra. Methods such as urethroscopy, fiber optics, cystoscopy, nephroscopy, pyeloscopy are used
Physical research	Methods that help to most accurately determine the condition of internal organs. These include ultrasound, plain radiography, excretory urography, infusion urography, retrograde ureteropyelography, antegrade pyeloureterography
Instrumental diagnostics	Method for diagnosing diseases of the urethra in men and women. Examination of the bladder using a catheter, bougienage of the urethra, puncture biopsy - removal of a piece of tissue for examination

The list of diagnostic methods does not end here. If it is impossible to examine part of the internal organs, surgery is prescribed. Surgery will help make a diagnosis and even become an emergency treatment method.

How to choose a specialist

The choice of a specialist depends not only on the availability of a urologist in a free clinic, but also on the financial situation of the patient. You can make an appointment at a private center to get faster lab test results.

Not all types of diagnostics can be performed free of charge at a local clinic. You can make an appointment with a local urologist, and additionally undergo a urinary tract examination at a medical center for a fee.

The cost of seeing a urologist will cost from 500 rubles, and testing will cost from 1,500 rubles. In the central regions of Russia, the cost of doctor’s services is even higher.

Finding a good doctor is not difficult; you can simply find information about a specialist on the Internet. Each private center has its own website, which describes the achievements of its employees, and there are pages with reviews.

Some tips to choose the best doctor:

Choose a specialized medical center. It is better if it is a urological clinic or a private medical office, in which every corner is collected for the diagnosis and treatment of urinary tract diseases.
Research reviews. Ask a neighbor or friend for advice, find a page on the forum dedicated to seeing a specific specialist.
Estimate the percentage of recovered patients. The higher the effectiveness of treatment, the more responsible the urologist is in performing his work.
Novelty of the medical institution. With new equipment, the chance to accurately diagnose the presence of certain diseases increases.

Some men choose doctors only of the stronger sex, embarrassed by a female examination. Others prefer older, experienced professionals. The choice also depends on personal preference. The main thing is to take the first step by asking for help.

Video

How an examination by a urologist takes place - learn more from the video.

The “people” still believe that a urologist is an exclusively male doctor. But this is absolutely not true. Urology is a part of medicine responsible for the health of the genitourinary system as a whole.

Women also turn to such a specialist. So what does a urologist treat for women? Let's figure it out.

Why do women go to him?

A urologist is a specialist who deals with problems of the genitourinary system.

Despite the fact that the urologist refers to narrow specialists, the clinical specialty itself encompasses many related industries. For example, gynecology refers to the female body, and pediatrics to the children’s body.

Women do not go directly to a urologist with their problems as often as men.

This can be explained quite simply: having felt pain or discomfort, representatives of the fair sex first go to a gynecologist, and he, in turn, after an examination, sends the patient to a specialist.

Which symptoms should be alarming:

A pregnant woman should be especially attentive to herself and her health.

During this period, including on the kidneys and bladder. Physiological processes occurring during the process lead to the risk of occurrence or exacerbation of diseases of the urinary system.

Symptoms that an expectant mother should not ignore:

Sharp pain in the kidney area;
Persistent pain in the lower abdomen;
Any red or brown discharge from the genital tract;
Severe urination disturbance.

In these cases, the woman should immediately contact her doctor or call an ambulance.

When planning a pregnancy, the expectant mother must cure all chronic diseases female genital organs.

What does a women's specialist do?

Urology in women is a highly focused specialization. However, the doctor must be both a urologist and a gynecologist in one person in order correctly distinguish one problem from another and help the patient in a timely manner.

A urologist treats diseases such as:

Stones in the kidneys and ureter;
Incontinence;
Congenital anomalies of the genitourinary organs;
Bladder;
and neoplasms.

It is worth noting that the female half more often suffers from diseases of the urinary system than the male half. It's connected with structural features female genital organs.

(The picture is clickable, click to enlarge)

How is the reception going, what is he watching?

A good specialist can make a preliminary diagnosis based on examination and assessment of the patient’s symptoms.

After an external examination and palpation of problem organs, the doctor can measure body temperature and visually examine the kidney area by tapping the lower back. This is how a specialist determines external signs of inflammation.

If the patient’s complaints concern the bladder, then the examination is done in the gynecological office.

The doctor may prescribe additional tests and research:

In unclear or complex cases, urethroscopy and pyeloscopy may be required.

Most often, a urologist prescribes Kidney ultrasound. There is no need to specially prepare for this procedure; however, before the study, you should exclude from your diet foods that lead to increased gas formation in the intestines, as this may distort the results.

The patient's excess weight is also often an obstacle to making a correct diagnosis using. If a kidney ultrasound is performed on a small child, it is important that he does not move during the entire procedure.

After diagnosis, Dr. prescribes therapy. It usually includes medications, which may include various medications: broad-spectrum antibiotics, herbal preparations, diuretics, and so on.

Usually conservative treatment methods prescribed by a doctor give good results, but in severe cases they resort to surgical intervention. A urologist also has this qualification.

When women need a urologist, the doctor will tell us in the video:

In contact with

Classmates

Here is a list of diseases that are within the competence of a urologist:

All inflammatory processes of the genitourinary system - cystitis, urethritis.
Urolithiasis disease.
Injuries and neoplasms localized in the area of the bladder and urinary tract.
Pathologies and defects of the genital organs in men.
Pathologies of the prostate gland.
Diseases of the kidneys and adrenal glands.
Infertility.

Preparing for your appointment

How should a woman prepare?

The same as when visiting a gynecologist. A gynecological chair is used to examine women. Therefore, do not forget to bring a diaper with you for examination. The day before your visit to the doctor, you should exclude sexual contact. You should not douche before examining a urologist. There is no need to perform genital hygiene using disinfectant solutions (furacilin, chlorhexidine). The doctor will need to take tests, and after using medicinal solutions, the indicators may be unreliable.

How to prepare for a man?

For men, in addition to the hygienic toilet of the genital organs, the following is required:

Avoid sexual intercourse for 2 days before being examined.
Cleansing enema. Cleaning the rectum is necessary so that the doctor can perform a digital examination of the prostate gland through the rectum. Do not be scared or embarrassed by the erection that occurs during such an examination - this is normal. It's worse if an erection does not occur. A cleansing enema can be replaced by taking a laxative the day before.

According to experts

It is best to do a urine test before your first visit to the urologist. This will make it easier to make the correct diagnosis. Moreover, you still have to take such an analysis.

It is also advisable to start keeping a log of symptoms a few days before the examination by a urologist:

Write down how many times a day you urinate;
in what area does the pain occur and how severe is it;
what you ate and drank during the day;
Try to trace the connection between diet and lifestyle and worsening or improving symptoms.

This will be very helpful when you discuss your problem with your doctor and ask him questions.

How is the first examination by a urologist?

As your appointment with your urologist progresses, you can expect a lengthy discussion about your symptoms.

The urologist may ask various questions, such as:

How often do symptoms occur and when did they first appear?
Do they bother you a lot?
Do you ever have blood in your urine? If yes, how often?
Have you had urinary tract disease in the past?
Do you suffer from high blood pressure?
Do your relatives have any diseases of the genitourinary system?
Have you ever had episodes of urinary incontinence?

The doctor may also perform a digital examination of the prostate gland and a quick ultrasound scan of the bladder. Don't worry, this is not an invasive procedure.

It is important to know. Although a urologist will primarily ask questions about the condition of the genitourinary system, there is a chance that your urological problem is actually related to other systems of the body. Be prepared to give your urologist a complete list of all medications you take, including any prescription medications. It is advisable to make this list in advance.

After completing the examination, the doctor will discuss a treatment plan with you. This usually includes additional tests and tests that must be performed either at the time of the current visit or at subsequent visits.

Such studies may include:

blood tests;
testosterone level analysis;
Ultrasound of the kidneys, bladder, and prostate;
cystoscopy;
CT or MRI to evaluate the condition of the kidneys or pelvic organs;
biopsy of the bladder or prostate gland.

Through these procedures, the specialist will be able to determine the correct course of action to take for your treatment. You should not prescribe folk remedies for prostatitis and other diseases without first consulting your urologist.

What to expect at your doctor's appointment? Step by step

First, the doctor talks with the patient. He asks how the person is feeling, what problems are bothering him. To get a more complete picture of the disease, the doctor asks leading questions and finds out how symptoms change depending on the situation. The urologist must also familiarize himself with the patient’s life history, that is, find out what and when the person was sick with. It is especially important for him to ask about the presence of genitourinary diseases in a person’s life.
Examination on the couch. The doctor will ask you to strip down to your underwear and lie on your back. This way he will be able to palpate the kidneys and adjacent organs.
An appointment with a urologist for men also includes examination and palpation of the external genitalia: penis, scrotum. This is not painful at all and does not lead to unpleasant sensations if the tissues of these organs are not affected by pathology.
Prostate examination. It is carried out only through the rectum. To do this, the patient will need to take a knee-elbow position or squat, having first removed all clothing below the waist. The doctor will insert a gloved finger lubricated with glycerin into the patient's rectum and palpate his prostate. This is a rather unpleasant procedure, but pain occurs only if the prostate is inflamed. Examination of the prostate may be accompanied by an erection. There is nothing wrong with this, even if you are being examined by a woman’s urologist - such a reaction should normally occur during this manipulation, the doctor does not experience any personal feelings. Rather, on the contrary, when palpating the prostate gland, it is important for a doctor, no matter what gender, not only to assess the size, density and uniformity of the gland itself, but also to analyze the level of erection.

What procedures can a urologist do during an appointment?

takes a smear from the urethra (the woman needs to lie down on a gynecological chair for this)
massages the prostate
takes the secretion (“juice”) of the prostate for examination
corrects paraphimosis
catheterizes the bladder
bougienates the urethra, that is, passes a metal probe through the urethra under local anesthesia
removes small tumors on the external genitalia with an electrocoagulator
produces shading of the seminal tubercle
removes a foreign body from the urethra
changes the indwelling urinary catheter
injects medications into the bladder through a catheter
performs diaphanoscopy of the scrotum
changes dressings and removes stitches after urological operations
performs suturing of small wounds on the male genitals
opens boils on the male genitals
cuts adhesions on the foreskin
prescribes and can independently perform ultrasound of the scrotum, ultrasound of the prostate, cystoscopy and other instrumental methods.

How to understand what you need to see a urologist?

There are two types of urinary tract infection:

Lower urinary tract infections, which involve inflammation or irritation of the urethra and bladder.
Upper urinary tract infections (this includes the kidneys and ureters).

An appointment with a urologist is necessary if the following symptoms of lower urinary tract infection appear::

You feel slight discomfort in the abdomen, and urination becomes a problem.
Pain or burning appears during urination.
The urge to urinate has become more frequent, including at night.
You are unable to control your urination.
Periodically, there is a feeling that the bladder is not completely emptied.
The urine began to smell very strong.
The color of the urine changed, became cloudy, and blood appeared in it.
You feel pain in your lower abdomen and unexplained fatigue.

Urologist M.A. Fominykh

What can a urologist find?

Inflammation of the urethra – urethritis.
Sexually transmitted infections: ureaplasmosis, candidiasis, mycoplasmosis, gonorrhea, etc.
Inflammatory processes affecting the foreskin and head of the penis (balanoposthitis), epididymis and testicles (orchiepididymitis), seminal vesicles (vesiculitis), prostate gland (prostatitis), bladder (cystitis), kidneys (pyelonephritis).

For timely diagnosis of genitourinary diseases, a man must undergo a preventive examination at least twice a year. In the early stages, all urological diseases are quickly and successfully treated and do not cause serious complications. If you are sexually active or over forty years old, visiting a urologist is a must. Put aside false modesty and prejudice: taking care of your men's health is a truly adult act.

Prevention of urological diseases

To avoid urological diseases, doctors recommend following simple rules:

Underwear should fit you in size, be made from soft natural fabrics, and provide good air exchange.
Eat right and exercise.
Avoid casual sex. Use protective equipment.
Don't sit on cold surfaces. Dress appropriately for the weather.
Maintain personal hygiene.
Get checked regularly by a specialist.

How to choose a good specialist?

The easiest way to find a good urologist is in a large clinic that has a urology department.
Insurance agents who provide individual health insurance can make an appointment with a high-class doctor. They usually know the doctors well, not only personally, but also receive feedback from patients who have already used urological services.

Visit to a urologist: how to prepare?

In response to the query “how to prepare for a visit to a urologist,” a popular search engine returns over 23 thousand links. Internet users are interested in how a doctor’s examination goes and whether any measures need to be taken before visiting him. And is it really necessary? Let's find out what would be useful to take note of for those who plan to visit a urologist.

...a doctor who deals with the prevention, diagnosis and treatment of diseases of the urinary tract (in women) and the genitourinary system (in men). The specialization of a urologist is partially close to an andrologist and a gynecologist - male and female doctors, but in no case replaces them. Many diseases and disorders that are the focus of urology: for example, overactive bladder syndrome, urinary incontinence, cystitis, pyelonephritis, urolithiasis, are characteristic of both sexes, as are injuries to the ureter, bladder, and kidneys.

Reason to contact a urologist

frequent urination (more than 8 times a day), including at night (more than 1 time per night);

unbearable urgency to urinate, urinary incontinence at the sound of running water;

discomfort when urinating (pain, cutting, etc.);

nagging pain in the lower abdomen, in the lumbar region;

impurities in the urine (blood, pus) or changes in its color (appearance of pink, red, brown shades);

urinary incontinence during physical activity, regardless of its intensity (in particular during laughing, coughing, sneezing, lifting heavy objects, walking, playing sports, sexual intercourse).

How to prepare for a visit to the urologist

The first recommendation applies to visiting a doctor of any specialty: you need to take a shower (without using care products for intimate hygiene: gels, soaps), put on fresh underwear and generally look neat. You can also take with you a bottle of drinking, always non-carbonated water (0.5–1 l) and fill out a urination diary in advance. A sample or form of a diary (essentially a questionnaire with a small number of points) is easy to find on the Internet. And water will be useful if you need to do an ultrasound of the bladder: filled with liquid, it will be better visible on the monitor, which will allow the doctor to make a more accurate conclusion about the condition of the organ. For the same reason, it is recommended not to go to the toilet for minor needs a couple of hours before the examination.

You should also temporarily (the day before your visit to the doctor) exclude from your diet foods and drinks that cause increased gas formation: peas, lentils and other legumes, fresh vegetables, berries, fruits, dairy and fermented milk products. Alcohol is also prohibited.

Urologists also advise abstaining from sexual intercourse, especially for men, two days before the planned visit to a specialist. In this case, the doctor will be able to take the necessary tests (smears and scrapings from the mucous membrane of the genital and excretory organs), if necessary, at the first appointment.

How is a urologist examined?

An initial consultation with a urologist includes, first of all, a survey - clarification of the patient’s complaints and collection of information for an anamnesis (medical history): symptoms, nature of the disease, lifestyle, chronic and hereditary disorders, medications taken, allergies, previous surgeries. Then the doctor conducts a visual examination, and at the end of the appointment he announces a preliminary diagnosis and makes recommendations.

As a rule, they are as follows: keep a urination diary for three days (if the patient did not keep one in advance); pass a general urine test, clinical and biochemical blood test, urethral smear, bacterial urine culture, spermogram (for men); undergo an ultrasound scan - women are prescribed an ultrasound examination of the kidneys and bladder, men are prescribed an examination of the kidneys, bladder, prostate gland and scrotum.

Other forms of examination and laboratory tests are also possible, for example, PCR diagnostics, tests for sexually transmitted infections, uroflowmetry, urodynamic examination, gynecological examination (for women) and rectal examination (for men). All this is necessary for more accurate diagnosis and effective treatment of the disease.

Important! There is no need to be ashamed of your illness or hide anything about it from the doctor - embarrassment is inappropriate here. The more details the doctor knows, the easier it is for him to make the correct diagnosis and prescribe appropriate therapy. At the current level of development of urology, there are practically no diseases of the urinary (genitourinary) system that cannot be diagnosed and treated. The main thing is a person’s desire to take care of his health and willingness to follow the doctor’s orders.

THE ARTICLE IS FOR INFORMATIONAL NATURE. FOR ANY QUESTIONS REGARDING YOUR HEALTH, PLEASE CONTACT YOUR DOCTOR.

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A trip to the urologist. Scary.

I want to ask whether it is necessary, and if necessary, why, to take off your bra and lower your panties a little from the urologist. I only felt my stomach.
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Forget the expression: ***** is not a bird, a doctor is not a man! . They are all smeared with the same world. It was necessary to look for a female doctor.

38. Sergei | 25.12., 12:36:02

pucemu muziki stisniajutsa idti k urologu,raskazyvat svoji problemy,a potomu cto byl by glaz na glaz s vraciom,a tak esio i v etom uciastvuet molodaja med sestra,i vsio slusaet,i smotrit tebe v lico.potom ze pri nei,on smotrit penis ,trogaet jaicki,mazet anal lubrikantom,i proveriaet prostatu.takoe osiusenije cto on izdevaetsa,poluciaet kakoi to fetis.priciniaet diskamfort pacientu.

39. Sasha | 29.12., 14:38:00

A friend of mine recently visited a urologist and said, while drunk, that it was about pain in the perineum. I don’t know what happened, but I seem to be young and healthy, nothing hurts and sex is no problem. Male urologists are always men themselves; women do not work here. I used to think so, but recently I realized it. In short, he forced me to give him prostate juice for analysis. He stuck his gloved fingers into the ass and began to knead the rectum. Liquid dripped from the end and by the way it hurt! I was in pain, but how is this even normal? In general, a little dripped into the jar and it was released from me.
*****, how unpleasant and ashamed I was that I allowed him to do this. I understand that this is necessary for analysis, but damn it’s incredibly humiliating and disgusting. Has anyone else had this experience? If I suddenly get sick, will I often have to do this prostate juice sampling again?

40. Svetlana | 27.03., 19:12:00

I saw a urologist. At first I was also very afraid, for some reason this branch of medicine is very popular with men. I couldn’t find a female urologist in the whole city. The doctor didn't even touch it. I immediately sent him for a general urine test, but I had a different problem - a frequent urge to urinate. At the next visit, he prescribed treatment. Helped a lot.

I'm just a little scared now. I'm going to see a urologist, he's a man, but that's not what's scary) The fact is that he's an acquaintance of an acquaintance and knows my husband. When I called for a consultation, he told me what tests to take and said that I needed to do an examination... It becomes somehow awkward when you think that one of your friends knows about your insides)))) For some reason, other people’s gynecologists and urologists don’t frightening))

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Diagnosis of cystitis in women

1. Non-instrumental examination

Measures for non-instrumental diagnosis of cystitis that a urologist can take include:

Taking anamnesis. that is:
- episodes of genitourinary tract infections;
- previous operations on the urinary system and pelvis;
- concomitant pathologies (nervous and endocrine systems, diseases of the gastrointestinal tract);
- cases of diet violations in the form of provoking foods and alcohol are also recorded.

Collection of complaints on the:
- frequent and painful urination, usually occurring after a diet disorder or hypothermia;
- to an imaginary urge to urinate;
- for the appearance of blood in the urine.
- painful sensations in the bladder area, the intensity of which is directly related to the severity of the inflammatory process;
- dark color of urine, indicating the presence of red blood cells, white blood cells, bacteria, and epithelium.
Physical (digital) examination projections of the bladder and the area above the pubis to identify pain;
Formation of a urination diary. that is, data on the volume of a single fluid intake and a single urine output for 2-3 days;
Gynecological examination in the assessment chair:
- condition of the mucous membrane of the vaginal vestibule;
- the external opening of the urethra and its location relative to the vagina;
- painful sensations when palpating the bottom of the bladder through the vagina;
- condition of the urethra and adjacent tissues;
- rigidity of the hymenal ring and its traces – infection may occur during sexual intercourse (examination of the vagina using the O Donnel method).
Calibration of the urethra using olive bougies to identify organic bladder outlet obstruction.

2. Laboratory examination for cystitis

Laboratory diagnostic methods include:

General urine analysis to identify signs of inflammation, consisting of a large number of leukocytes and red blood cells in the urine;
Bacteriological examination of urine to determine the reaction of microorganisms to antibacterial drugs (103 CFU/ml.);
PCR diagnostics to detect sexually transmitted infections;
ELISA study to detect cytomegalovirus, herpes;
Vaginal smear(to identify vaginal dysbiosis);
Clinical blood test(if necessary) to exclude a systemic inflammatory process (increased levels of leukocytes and ESR).

3. Instrumental studies for cystitis in women

Instrumental diagnostics are carried out using:

Ultrasound of the kidneys and full bladder to assess the condition of its walls, exclude neoplasms, urolithiasis, the presence of residual urine, the structure of tissues adjacent to the urethra;
Survey urography to exclude urolithiasis;
Intravenous contrast urography to exclude neoplasms, urolithiasis, and disorders in the development of the urinary system. A contrast agent is injected into a vein and a series of x-rays are taken;
Cystoscopy. that is, introducing a special instrument with a video camera into the bladder through the urethra, which allows for a visual assessment of the bladder walls and to exclude neoplasms. This method is contraindicated in the acute period of the disease. If there are suspicious areas, a biopsy is performed during cystoscopy for subsequent histological analysis;
Uroflowmetry with establishing the volume of residual urine to exclude bladder outlet obstruction;
Comprehensive urodynamic examination. consisting of uroflowmetry, profilometry, cystometry, electromyography of the pelvic floor organs to establish the evacuation capacity of the bladder, urethral instability and assess the functional state of the lower urinary tract. During the examination, the pressure in the urethra and bladder, as well as abdominal pressure, is determined and recorded;
Computed tomography of the pelvic organs. as the most informative research method, providing layer-by-layer X-ray images of all pelvic organs;
MSCT (multispiral computed tomography) pelvic organs. This method is characterized by high information content, accuracy, high resolution, and the ability to obtain three-dimensional images of organs and tissues. MSCT is successfully used in early diagnosis and screening of a number of diseases;
Magnetic resonance imaging of the pelvic organs. It is a safe and highly informative research method that allows you to assess the condition of all organs and tissues of the pelvis and identify pathological changes in them.

Still have questions? Ask them to your urologist online! An online urologist andrologist will answer here soon.

Your doctor - Chakiryan Mikael Ashotovich . He has extensive experience in diagnosing cystitis in women, drug and surgical treatment.

The list of narrow specializations of doctors can lead the patient into slight confusion. Therefore, for any pathologies, you visit your local physician so that he can figure out where to refer you next. It is not difficult to suspect pathologies of the genitourinary system and the kidneys themselves. The marker for this is unsatisfactory urine tests and certain complaints. For a detailed examination and clarification of the diagnosis, you receive a referral to a urologist.

A urologist should not be considered exclusively male (this is a common opinion). A doctor of this specialization deals with pathologies of the genitourinary system, regardless of the person’s gender. Perhaps only pediatric urologists who treat young patients can be classified as a separate group. The division of all doctors into adults and children is due to the physiological and anatomical characteristics of the child’s body.

What does a urologist treat?

Here is a list of diseases that are within the competence of a urologist:

All inflammatory processes of the genitourinary system - cystitis, urethritis. Urolithiasis disease. Injuries and neoplasms localized in the area of the bladder and urinary tract. Pathologies and defects of the genital organs in men. Pathologies of the prostate gland. Diseases of the kidneys and adrenal glands. Infertility.

The science of urology belongs to the category of surgical specializations. Therefore, you can receive emergency surgical care directly at an appointment with a urologist.

Classification of doctors

All urological specialties are divided into additional, narrower groups:

Urogenicology. The doctor treats urogynecological diseases in women. There are a large number of pathologies that can be equally considered urological and gynecological. Andrology. An andrologist treats pathologies in men. This includes not only inflammatory diseases, but also congenital defects of the male reproductive system. Pediatric urology. Consultation with a pediatric urologist is necessary for congenital defects of the genitourinary system, etc. Oncourology. Its goal is to find and cure oncological processes of the genitourinary system. Phthisiourology. Treats urological pathologies of tuberculosis nature. Geriatric urology. A fairly extensive and complex area of urological science. Her contingent is elderly patients. Emergency urology. The doctor specializes in providing emergency surgical care in the genitourinary area.

Preparing for your appointment

A urological appointment requires a little preparation, which varies slightly for women and men. In addition to a general visual examination and history taking, the doctor also performs other diagnostic procedures. We will tell you how an examination by a urologist goes a little lower, but for now we will focus your attention on the preparation that is required before an appointment with a urologist.

How to prepare as a woman

You should not douche before examining a urologist. There is no need to perform genital hygiene using disinfectant solutions (furacilin, chlorhexidine). The doctor will need to take tests, and after using medicinal solutions, the indicators may be unreliable.

How to prepare for a man

For men, in addition to the hygienic toilet of the genital organs, the following is required:

Avoid sexual intercourse for 2 days before being examined. Cleansing enema. Cleaning the rectum is necessary so that the doctor can perform a digital examination of the prostate gland through the rectum. Do not be scared or embarrassed by the erection that occurs during such an examination - this is normal. It's worse if an erection does not occur. A cleansing enema can be replaced by taking a laxative the day before.

Appointment with a urologist

We understand that anxiety in front of a doctor's office is common for men and women. What does the urologist do at the appointment, is the examination painful, what tests are required, how does the doctor carry out the diagnosis? These thoughts haunt you and do not allow you to enter the office calm and relaxed. And this is necessary.

Advice. If you are too worried, take any calming drops before visiting the doctor.

Nothing terrible happens in the urologist's office. The examination begins with a normal conversation. Answer the doctor's questions in detail, this will help with an accurate diagnosis. If there are chronic diseases, the doctor needs to know what medications the patient takes on a regular basis. Don't forget to mention them. Along the way, the doctor studies your outpatient card, looks at the tests, the results of which should be pasted into it. If it is an initial appointment and you have not had any tests, the doctor will definitely prescribe them. Patients take some tests directly in the office.

The next stage is a palpation (manual) examination of the abdomen and kidneys. It is performed on a couch, sometimes standing.

The doctor uses a gynecological chair to examine the female genital organs. In men, the doctor visually and palpably examines the external genitalia, after which he begins to examine the prostate gland. Anatomically, the prostate gland of men is adjacent to the bladder on one side and touches the rectum on the other. Therefore, the only possible way to determine the size and density of an organ is to examine it through the anus. To do this, the patient is asked to lean on the couch, leaning forward. The doctor inserts a finger into the rectum and feels the prostate. For information, the same method is used to massage the prostate in men; samples of secretions from the prostate gland are also taken using finger pressure on the gland.

Examination of the prostate in men can cause pain only in the presence of acute prostatitis. In other cases, the procedure is painless.

How to choose a good specialist

In order to get an appointment with a urologist, you just need to make an appointment with him at the clinic’s reception desk. If another specialist recommends that a patient undergo a urological examination, he will prescribe additional tests for you. Many patients take them in paid laboratories in order to get results faster. Let's tell you a little medical secret. Any doctor, including a urologist, with whom you have to make an appointment, trusts the laboratory of the institution in which he works more. If you need any additional analysis using rare or expensive reagents, the urologist himself will advise you to sign up for tests in a private laboratory of a good level, in his opinion.

What if you don’t live in a metropolis, and you can’t find a urologist in your latitude? How to make an appointment, and most importantly, where to find a good specialist?

Finding a doctor these days is not difficult. The addresses of clinics and private medical institutions are easy to find on the Internet, and you can also make an appointment without leaving your home. But you want to get examined by a good doctor, and not the one whose phone number caught your eye first! Therefore, we will risk giving you some advice to guarantee high-quality and competent service.

The easiest way to find a good urologist is in a large clinic that has a urology department. Insurance agents who provide individual health insurance can make an appointment with a high-class doctor. They usually know the doctors well, not only personally, but also receive feedback from patients who have already used urological services.

We would not really recommend using the advice of colleagues and friends. Their experience was not necessarily successful; the psychological aspect of the reception is of great importance. If you still go to a urologist in a private institution, first check the availability of a license and diplomas of appropriate education. Serious honey. institutions do not hide them.

Our advantages:

Inexpensive doctor's appointment from 900 rubles Urgently tests on the day of treatment from 20 minutes to 1 day Close 5 minutes from Varshavskaya and Chistye Prudy metro stations Comfortable We work every day from 9 to 21 every day (including holidays) Anonymously!

A urologist is often viewed as an exclusively male doctor who helps with a variety of diseases of the genitourinary system, ranging from sexually transmitted infections to tumors of the kidneys, prostate and bladder. Therefore, clinic administrators almost never have additional questions when scheduling a male patient for an appointment with a urologist.

Women traditionally, if they have any complaints in the pelvic area, turn to a gynecologist who, if necessary, can organize a joint examination with a urological specialist.

Urologists, of course, do not pretend to examine and treat diseases of the vagina, cervix, uterus itself and its appendages. But there are specific diseases that they deal with, both in men and women.

Urological diseases in women include:

Acute and chronic cystitis. Acute and chronic urethritis. Pyelonephritis. Neurogenic overactive bladder syndrome. Urolithiasis disease. Tumors of the urinary system.

An examination of a woman by a urologist bears the features of a gynecological and general therapeutic examination.

After collecting complaints and anamnesis, when the time of onset of symptoms is determined, their characteristics, especially the presence of pain in the projection of the kidneys and bladder and changes in urination, the urological examination itself begins:

The doctor examines the woman’s lumbar region and lower abdomen, taps and palpates these areas, and determines the presence of pain and visible changes. Next, the patient is placed on a couch or urological chair, where the urologist examines the external genitalia, the urethra, identifies visible changes (pathological discharge, papillomas, ulcers), palpates the urethra and bladder through the vagina and abdominal wall. At this time, the urologist can collect material from the urethra for PCR diagnostics of STIs, culture for flora and sensitivity to antibiotics. Sometimes it is necessary to perform urethro- and cystoscopy. That is, with a special device that looks like a tube, they enter the urethra and bladder and, using a video system, examine the mucous membrane of these organs. During the examination, you can take suspicious tissue for examination.

A urological examination is only the first part of a woman’s examination conducted by a urologist. Next, an ultrasound examination of the kidneys, bladder, ureters and laboratory tests of urine, urethral smears and blood are performed.

Based on the totality of data obtained as a result of an examination by a urologist and an ultrasound scan with tests, a urological diagnosis is made and treatment is prescribed. Moreover, when pathogens of sexually transmitted diseases and sexually transmitted infections are detected in the bladder in the urethra or bladder, the woman is no longer treated by a gynecologist, but by a urologist.

In the Southern Administrative District and South-Western Administrative District - Varshavskaya, Kakhovskaya, Sevastopolskaya metro stations - st. Bolotnikovskaya house 5 building 2, tel. 8-499-317-29-72

In the center (TsAO) - Chistye Prudy metro station, Turgenevskaya, Lubyanka - Krivokolenny lane, building 10, building 9, tel. 8-495-980-13-16

One of the common bladder diseases is cystitis. It is an inflammation that occurs in a given organ and provokes unpleasant symptoms that significantly affect the patient’s quality of life. Most often, this disease occurs in women, although it also occurs among men. Therefore, representatives of both sexes need to know which doctor to contact for cystitis. After all, the success of treatment depends on proper therapy.

For the treatment of CYSTITIS, our readers successfully use

Galina Savina's method

After carefully studying this method, we decided to bring it to your attention.

How to choose a doctor?

Some people practice self-medication, believing that cystitis is not dangerous, however, such a disease definitely needs a doctor. The fact is that with high-quality and timely treatment, this disease goes away without consequences, however, it also has complications. Usually they are caused either by improper treatment or late contact with a specialist.

Often people do not go to the doctor even if they have all the symptoms of the disease, only because they do not know who to contact with such a problem. It is especially difficult in this case for a woman, since in the fairer sex cystitis can be caused by various reasons. Developing a treatment strategy may require the joint efforts of several specialists. Therefore, it is impossible to say unambiguously which doctor treats cystitis in women.

A common misconception is the belief that a gynecologist should treat cystitis in women. It is not right. This doctor specializes in diseases of the reproductive organs. Cystitis is not one of these diseases, since the bladder does not belong to the reproductive system. Although in most cases a consultation with a gynecologist may still be necessary.

A urologist treats diseases of the urinary system. This applies to both sexes. However, it is generally accepted that this specialist is a “male” doctor, which is why women often do not know which doctor to go to with cystitis. Because of this, female representatives avoid contacting a urologist, which leads to the progression of the disease. Therefore, it is necessary to cast aside all doubts and make an appointment with a urologist for cystitis.

However, due to the peculiarities of female anatomy and physiology, the causes of cystitis in women may be associated not only with problems of the urinary system. Sometimes this disease is provoked by infections that occur in the genitals. This means that in order to make a correct diagnosis and quality treatment, you will need to visit a gynecologist.

In addition, in some women, cystitis occurs due to the low location of the urethra. This feature can be identified by a surgeon. All this means that to treat cystitis, a woman usually requires the help of several specialists, while a man only needs to see a urologist.

A man going to this specialist usually does not cause confusion, while the presence of a woman in the queue surprises many. If you still cannot overcome your embarrassment, you should go to a therapist and tell him about the symptoms you notice. He himself will issue a referral to the doctor who will help.

What does a doctor do?

The actions of a therapist when a patient with suspected cystitis contacts him depend on the patient’s gender: a man must be referred to a urologist, a woman – to a urologist and gynecologist. These doctors will find out what symptoms were detected by the patient and refer for additional examination. It includes the following types of procedures:

Blood analysis. It allows you to detect inflammation in the body. Analysis of urine. An increased content of leukocytes in it indicates the development of cystitis. Urine culture. Thanks to this analysis, the bacteria that cause the disease are identified. Ultrasound of the pelvic organs. This method is used to examine women. Cystoscopy. It allows you to identify changes in the bladder. Tests for genital tract infections. Most often they are used in relation to the female half, but are also possible for men.

Based on the results of this examination, treatment is prescribed that is suitable in each specific case. This should be done by a urologist, although often his actions must be coordinated with the actions of a gynecologist (if infections or diseases of the reproductive organs have been detected).

Sometimes, as mentioned above, surgical intervention is necessary for high-quality treatment of this disease.

It is associated with an excessively low position of the urethra in relation to the vagina, due to which bacteria from the vaginal microflora easily enter the urethra, which leads to cystitis. This problem can only be solved surgically. In this case, interaction between the urologist and the surgeon is required.

Therapy, unlike diagnosis, is prescribed without regard to gender. The doctor focuses only on the identified features of the disease, based on which he chooses tactics. When cystitis is of infectious origin, the main effect is carried out by antibiotics and agents that fight the most pronounced symptoms of the pathology. The non-infectious nature of the disease requires the elimination of traumatic influences, which is accomplished through compliance with preventive measures. The patient should follow all recommendations to avoid complications.

When diseases of the reproductive sphere are detected, which served as the cause for the development of cystitis, it is very important not only to cope with its manifestations, but also to restore the microflora of the genital organs. In this case, the actions of the urologist must be coordinated with the actions of the gynecologist (in relation to the female sex). As for men, the fight against such deviations is carried out under the guidance of a urologist.

If you suspect cystitis, you need to know which doctor to go to for help. After all, the effectiveness of treatment depends on the choice of a specialist and the level of his qualifications. The best option is to first contact a therapist, who will decide whether further diagnostics make sense.

Many of our readers actively use a well-known method based on natural ingredients, recommended by the chief urologist of the Russian Federation, Elena Vasilyevna Pushkareva, for the treatment and prevention of CYSTITIS. We recommend that you check it out.

Review from our reader Maria Uvarova

I recently read an article that talks about the “Monastic collection of Father George” for the treatment of cystitis. With the help of this collection you can FOREVER get rid of CYSTITIS at home.

I’m not used to trusting any information, but I decided to check and ordered a package. I felt relief already on the 3rd day: I stopped running to the toilet every 5 minutes, the pain when urinating that had tormented me before receded. All symptoms of cystitis are gone. My mood has improved, the desire to live and enjoy life has appeared again! Try it too, and if anyone is interested, below is the link to the article.

Do you still think that it is impossible to get rid of CYSTITIS FOREVER?

Judging by the fact that you are now reading these lines, victory in the fight against CYSTITIS is not yet on your side...

And have you already thought about using the toxic drugs that are advertised? This is understandable, because frequent and painful urination literally unsettles you. And ignoring the disease can lead to serious consequences...

frequent urge to urinate… itching and burning when urinating…. a feeling of incomplete emptying of the bladder... discomfort, aching pain in the lower abdomen... pain at the end of urination... blood in urine...

Are all these symptoms familiar to you firsthand? But perhaps it would be more correct to treat not the effect, but the cause? We recommend that you familiarize yourself with the new technique from the chief urologist of the Russian Federation, Elena Vasilyevna Pushkareva, in the treatment of CYSTITIS... Read the article >>

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