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 you go to the doctor 2 days before the trip, you should not have sex.
On the eve and on the day of admission, put a cleansing enema, for which you can use tap water or purchase at the Microlax pharmacy.
Prepare a list of complaints and questions in advance, the answers to which you would like to receive from a specialist.
Remember what drugs have been taken recently.
If you have fresh tests, consultations, ultrasound of the prostate and other studies with ready-made results, you should take them with you to familiarize the doctor with them.

Where to find a urologist

Of course, for 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 contact a private clinic with a good reputation. The advantage of this choice is the possibility of passing a full examination here. But, for starters, in order to save money, you can get an initial consultation at the place of residence in your clinic. And then, based on the results of the doctor’s conclusion and the tests passed, one can judge the competence of this specialist.

Why does a urologist check the prostate

According to statistics, every year the frequency of complications in men associated with inflammation of the prostate gland is growing. Examination of the prostate at the appointment of a urologist is included in the list of mandatory manipulations for men over the age of forty.

Timely ultrasound of the prostate allows you to identify the development of pathology in the early stages.

What does a urologist do at the appointment

Before going to the doctor, men are interested in how the urologist examines the prostate. During the visit, the doctor finds out the patient's complaints and collects an anamnesis. To present a 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 mucous membrane of the urethra;
an MRI or CT;
catheterization of the bladder to determine the residual volume of urine;
blood chemistry.

The doctor pays attention during the examination of the man to the following:

what is the condition of his external genitalia;
whether or not there is an increase in inguinal lymph nodes;
palpating 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 the timely diagnosis of the development of hyperplasia with degeneration into a malignant form. What is the peculiarity of therapy in the early stages of the development of the inflammatory process? The fact 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 without fail evaluates the condition of the prostate gland.

For examination, the patient lies on his side, tucking his knees.
The doctor in sterile gloves, having previously treated the patient's anus with vaseline oil, inserts his index finger into the rectum of the subject, while simultaneously feeling and massaging the prostate.
During a prostate massage, a secret is secreted from the urethra in men. The doctor takes the urethral secret to study for the presence of inflammation and to determine genital infections.

Symptoms of the inflammatory process:

Definition of nodes and seals;
severe pain when touched;
the presence of immobility of the gland, a change in its size, as well as the boundaries of the location.

If a man has an erection during a prostate massage, then this is a sign of a physiological reaction, which indicates the absence of pathology from 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 of prostatitis, urethritis or cystitis, complications may develop, leading to the production of male sex hormones.
With prostate adenoma in the early stages of the development of the disease, drug treatment with antiandrogenic drugs is carried out. In advanced cases resort to surgical intervention.
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 the pathology in the genitourinary system, but also among other diseases. Treatment of impotence requires the identification and elimination of the cause that caused the pathology. One possible reason is a decrease in testosterone levels in the blood.
Premature ejaculation can develop in the absence of treatment of organic lesions of the genitourinary system.
Treatment of male infertility is aimed at identifying and eliminating the causes of reduced fertility.

Prostate massage by a urologist

When medical treatment is not enough to cure prostatitis, a urologist may recommend prostate massage.

During the procedure, there is an increase in blood circulation in the gland. This contributes to better penetration of antibiotics to the organ. It also stimulates secretion production and its exit from the gland.

As a result, the patency of the prostate ducts is restored. That allows you to more effectively treat prostatitis and favorably affects the outcome of the disease.

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

(ultrasound) ultrasound diagnosis of the prostate;
according to the control smear for sowing, the presence or absence of infection is determined. It is recommended to take a smear two weeks after the end of the course of treatment. With good smear and blood test results, 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, such a statement is fundamentally wrong. Urology specializes in the study and treatment of pathologies of the reproductive, genitourinary systems in women. It is of two types: female and male, studies the pathology of such systems as the urethra, adrenal glands, kidneys, ureters, prostate gland, external genitalia. Let's see what a urologist treats in men?

What is a urologist?

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

prostatitis;
phimosis;
cryptorchidism;
papillomas;
STI diseases;
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 are more at risk for prostatitis and sexual dysfunction. Therefore, it is recommended to undergo an examination 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, genital organs, and also develops methods for their treatment and prevention. By itself, urology is not the main direction. And this is due to the fact that the basis of science includes related disciplines. This area is divided by gender into male, female, pediatric urology:

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

andrology (male urology);
urogenycology (female urology);
pediatric urology (malformations and pathologies of the urogenital area in children);
geriatric urology (urological diseases at a respectable age, when immunity is weakened, muscle tone decreases);
physiourology (tuberculosis of the kidneys, bladder, genital organs);
oncourology (malignant tumors);
urgent urology (life-threatening conditions: renal colic and acute urinary retention).

What symptoms should you see a urologist for?

To find out why it is necessary to visit a urologist, who it is and what it treats, you should find out in what cases they turn to it. A urologist is contacted for:

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

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

How is the examination for men?

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

Preparing for an inspection

Refrain from sexual intercourse the day before taking.
Empty your bowels, bladder.
Keep your genitals clean, do not use antiseptics before visiting a doctor.
Morally tune in to questions of an intimate nature.

Reception of patients

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

Diagnostics

To establish an accurate diagnosis, the specialist prescribes an additional examination, gives a referral for urine and blood tests. These analyzes provide quite a lot of information about the state of health. The presence of an existing disease can be assumed by color, sediment, and the presence of protein impurities in the urine. If the level of leukocytes and ESR is increased, this indicates an inflammatory process in the patient's body.

The urologist also prescribes an instrumental study:

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, 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, the genitourinary system.
Cystography. A colored substance is introduced 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 the study of blood vessels.
Ultrasonography.

Carrying out therapeutic measures

Who is a urologist and what does he treat? This question is asked by many men. The urologist performs conservative and surgical treatment of patients who have diseases of the genitourinary system. This is the most responsible, the main part of his work. In inflammatory pathologies (cystitis, urethritis, pyelonephritis, prostatitis), antibacterial, antispasmodic, anti-inflammatory drugs are prescribed. Surgical intervention is required when phimosis, cryptorchidism, neoplasms are detected. If oncological pathologies are detected, radiation and chemotherapy are prescribed.

In addition, the urologist prescribes the following:

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

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

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

Narrow specialists 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 a specialist only to a male doctor. A urologist is a universal doctor who helps to identify and cope with the pathology of the urinary tract for a man and a woman. When referring to a general practitioner, he will refer a patient with symptoms of pain in the penis, appendages and problems with urination specifically to the urologist.

Separately, you can select 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" refers to the category of surgical specializations. Therefore, directly at the reception of such a specialist, you can get emergency surgical care. Also, the urologist performs some types of physiotherapy procedures right on the examination.

Scheduled inspections

To maintain the health of the pelvic organs, annual preventive examinations are recommended. Women needlessly 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 it is worth visiting a specialist as planned. Such a check will help to detect the development of the disease at the initial stage and stop it.

What is included in the scheduled annual inspection:

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

Most of the urological diseases in the early stages do not show any visible symptoms, and very often the time for their timely treatment is missed. Therefore, we recommend healthy men without complaints to visit a urologist 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 pathologies of the development of the urinary tract, then you will have to visit the urological 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 contacting 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;
cancerous diseases;
congenital structural defects and developmental anomalies.

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

What complaints go to the urologist

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

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

Suspicious in men. A woman, if similar symptoms are found, will seek help from a gynecologist. Discharge from the urethra can be both within the normal range and a sign of sexually transmitted diseases. They may be associated with inflammation in the excretory duct and prostate after hypothermia. It can also be a complication of any disease of other organs. The urologist will prescribe a 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, an allergic reaction to latex, a lubricant, or a manifestation of prostatitis, infection can be suspected. Only a doctor can determine the cause of 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 give to the lower back. There are a lot of reasons for such pain: from yesterday's cycling workout to the development of a benign or malignant tumor.
Problems with urination. On this issue, both women and men turn to the urologist. Such a 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, is fraught with a transition to a chronic form.
The presence of blood in the urine or semen, as well as other impurities. This is a dangerous sign that indicates the presence of a running inflammatory or infectious process. The appearance of pus or blood is a symptom of a chronic disease, benign hyperplasia of an impressive size, or even cancer.
The appearance of a rash, sores, erosion or spots. In this case, a man should take care of the hygiene of the genital organs 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. With a decrease in libido, men are often embarrassed to see a doctor. But in vain, because impotence develops rapidly and, if no action is taken, it becomes irreversible. In this case, the specialist is looking 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 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 the disease. You can ask the urologist any delicate questions that bother 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 supportive therapy.

List of urological diseases

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

List of the most common urological diseases in men:

Erectile disfunction. These are problems with the hardness of the penis, when the area of the cavernous member of the penis is not filled with arterial blood to the extent that it provides a full erection. Most often, the disease appears in men after 45 years, smokers and patients with diabetes.
. Prostate problems are seen in 70% of older men on the planet. In this case, the glandular tissue can increase, interfering with the normal process of urination and in some cases causing a decrease in fertility.
Phimosis. This is a narrowing of the foreskin. In boys under the age of 3 years, the head is hidden behind the fold of the penis, it begins to come out by the age of six. At the initial stage, the patient feels pain due to the inability to move the foreskin freely. At the last one, an operation is required to free the head.
Balanoposthitis. This is an inflammatory process on the head of the penis. Suspicious rashes and ulcers appear on the mucous membrane and skin. The disease can be both a consequence of an untreated infection, and the cause of the development of phimosis (narrowing of the foreskin).

This list can be continued for a long time. Less common are developmental defects, in some cases there is priapism - a prolonged erection. Often, diseases of the urinary organs are the result 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 resolves 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. Especially often this pathology worries girls of preschool and primary school age.
. Inflammatory process that occurs 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 according to 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 aggravate the situation. Remember that most urological diseases are sexually transmitted. It is recommended to use a condom during intercourse to avoid infection.

Preparation for the reception

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

General requirements before examining a urologist:

exclusion of 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 can make it difficult to determine the location of pain. The doctor will not be able to make a correct diagnosis. For a similar reason, genital hygiene should not be performed before examination using disinfectants (Chlorhexidine, Furacilin). The result of bacteriological seeding 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. A day before a visit to the doctor, sexual intercourse should be excluded in order to avoid extraneous lubricant secretions.

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

How is the examination by a urologist

Many patients are concerned about the question of what they do at the appointment with the urologist. Many men avoid prostate exams, as rectal probing offends their male honor and humiliates their dignity.

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

At the same time, the doctor examines your outpatient card, reviews the tests, the results of which should be glued to it. If the appointment is primary, the urologist must prescribe, some of which can be taken right in the office.

Men

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

How is the reception of a man:

Palpation. The patient lies on the couch, the doctor manually examines the internal organs of the abdominal cavity and kidneys. Strongly 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. It can be performed standing or in a knee-elbow position. The doctor inserts a finger into the rectum to feel the condition of the prostate, in some cases an ultrasound probe is used for this.
Collection of analyses. If a bacterial infection is suspected, a urologist may take a general swab 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. Throw away the embarrassment, since the preservation of your health is more important than the offended man's honor.

Women

In some cases, in the office of a urologist, you can notice the presence of a gynecological chair. But in very rare cases, a narrow specialist examines the genitals of a woman. The reception 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 simultaneously studies the history of the woman, the presence of other diseases. It is worth telling the urologist about all suspicious manifestations of deviations in the functioning of the urinary system.
Palpation. The doctor will suggest lying down or examining you in a standing position. There is a palpation of the pelvic organs: bladder, kidneys. The state of the lymph nodes is also examined.
Instrumental research. If necessary, the urologist uses such modern diagnostic tools as ultrasound, laboratory tests, instrumental and endoscopic methods.

Just like in men, urethral secretions are taken. The main difference is the absence of a study of the female genital organs and the prostate gland, since women do not have a prostate. Instrumental diagnostics is carried out only in the case of a clear manifestation of symptoms and medical suspicion of the presence of a pathogenic development of the disease.

Sometimes at the appointment with a urologist, men withdraw into themselves and cannot talk about delicate problems. One of the most common reasons for this is the examination of a man by a woman's urologist.

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

Tips for a man if the urologist is a woman:

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

Calm down and go safely to the doctor's office. If a urologist is a woman, this does not mean that she is a bad specialist. Trust her medical instincts, don't make gender distinctions, and follow your doctor's instructions.

Knowing what the urologist checks for men, you can prepare both physically and psychologically in advance. Also at the reception, the urologist can 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 explore the urethra. Methods such as ureteroscopy, fiber optics, cystoscopy, nephroscopy, pyeloscopy are used.
Physical research	Methods that help to most accurately determine the state 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 with a catheter, bougienage of the urethra, puncture biopsy - removal of a piece of tissue for examination

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

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 results.

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

The cost of an appointment with a urologist will cost from 500 rubles, and taking tests - from 1,500 rubles. In the central regions of Russia, the cost for medical 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, there are pages with reviews.

A few tips to choose the best doctor:

Choose a narrow medical center. It is better if it is a urological clinic or a private medical office, in which every corner is assembled for the diagnosis and treatment of urinary tract diseases.
Explore reviews. Ask for advice from a neighbor, a friend, look for a page on the forum dedicated to the reception of a certain specialist.
Estimate the percentage of recovered patients. The higher the effectiveness of the treatment, the more responsible the urologist approaches the performance of his work.
The novelty of the medical institution. With the availability of new equipment, the chance of accurately diagnosing the presence of certain diseases increases.

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

Video

How is the examination by a urologist - 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 branch 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 in 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.

Although the urologist is narrow specialists, the clinical specialty itself captures many related industries. The female body includes, for example, gynecology, and the pediatric one, for example.

Women don't go directly to a urologist as often as men do.

This is explained quite simply: having felt pain or discomfort, the fair sex first goes to the gynecologist, and he, in turn, sends the patient to a specialist after the examination.

Which symptoms should alert:

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

During this period, including the kidneys and the bladder. The physiological processes taking place during this period lead to the risk of occurrence or exacerbation of diseases of the urinary system.

Symptoms that the expectant mother should not ignore:

Sharp pain in the kidney area;
Persistent pain in the lower abdomen;
Any discharge of red, brown color from the genital tract;
Severe urinary incontinence.

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

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

What does a female specialist do?

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

The urologist takes for such diseases as:

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

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

(Image is clickable, click to enlarge)

How is the reception, what does he look at?

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

The doctor, after an external examination and palpation of problematic organs, can measure body temperature, visually examine the kidney area by tapping on the lower back. So the specialist determines external signs of inflammation.

If the patient's complaints relate to the bladder, then the examination is done in the gynecological office.

The doctor may prescribe additional tests and research:

In unclear or complex cases, ureteroscopy, as well as pyeloscopy, may be required.

Most often, a urologist prescribes Ultrasound of the kidneys. There is no need to specially prepare for this procedure, however, before the study, foods that lead to increased gas formation in the intestines should be excluded from the diet, as this can distort the results.

Excess weight of the patient is also often an obstacle to making a correct diagnosis with the help. If a kidney ultrasound is performed on a small child, it is important that he does not move during the entire procedure.

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

Usually, conservative methods of treatment prescribed by a doctor give a good result, 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 bladder and urinary tract.
Pathologies and defects of the genital organs in men.
Pathology of the prostate.
Diseases of the kidneys and adrenal glands.
Infertility.

Preparation for the reception

How to prepare a woman?

Just like 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 the visit to the doctor, it is necessary to exclude sexual intercourse. Do not douche before examining a urologist. It is not necessary to carry out hygiene of the genital organs with disinfectant solutions (furatsilina, chlorhexidine). The doctor will need to take tests, and after using medicinal solutions, the indicators may be unreliable.

How to prepare a man?

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

Refusal of sexual intercourse within 2 days before undergoing an examination.
Cleansing enema. Cleansing the rectum is required so that the doctor can perform a digital examination of the prostate gland through the rectum. Do not be afraid, and embarrassed by the erection that occurs during such an examination - this is normal. 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 the first visit to the urologist. This will facilitate the correct diagnosis. Moreover, such an analysis will still have to be taken.

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

Write down how many times a day you urinate;
in what area does the pain occur and how strong is it;
what you ate and drank during the day;
try to trace the relationship between diet and lifestyle and the worsening or improvement of symptoms.

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

How is the first examination with a urologist?

As your urologist checks in, you can expect a lengthy discussion about your symptoms.

The urologist may ask various questions, such as:

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

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

It is important to know. Although the 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 body systems. Be prepared to give your urologist a complete list of all medications you are taking, including any prescription medications. It is advisable to make this list in advance.

After the examination is completed, the doctor will discuss the treatment plan with you. It usually includes additional tests and analyzes, which must be performed either at the time of the current visit or at subsequent visits.

Such studies may include:

blood tests;
analysis for testosterone levels;
Ultrasound of the kidneys, bladder, and prostate;
cystoscopy;
CT or MRI to assess the condition of the kidneys or pelvic organs;
biopsy of the bladder or prostate.

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

What awaits you at the doctor's appointment? step by step

First, the doctor talks to the patient. He asks how the person feels, what problems bother him. To compile a more complete picture of the disease, the doctor asks leading questions, finds out how the symptoms change depending on the situation. Also, the urologist should familiarize himself with the patient's life history, that is, find out what and when the person was ill. It is especially important for him to ask about the presence of diseases of the genitourinary sphere in a person's life.
Look at the couch. The doctor will ask you to strip down to your underwear and lie on your back. So he can feel the kidneys and organs adjacent to them.
An appointment with a urologist for men also includes examination and probing of the external genital organs: the penis, scrotum. It does not hurt at all, does not lead to unpleasant sensations, if the tissues of these organs are not affected by pathology.
Examination of the prostate. It is carried out only through the rectum. To do this, the patient will need to take a knee-elbow position or squat down, after removing all clothing below the waist. The doctor will insert a gloved finger lubricated with glycerin into the patient's rectum, probing 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 to worry about, even if you are being examined by a woman's urologist - such a reaction should occur normally during this manipulation, the doctor does not experience any personal feelings. Rather, on the contrary, for a doctor, no matter what gender he is, when palpating the prostate gland, it is important 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 (for this, a woman needs to lie on a gynecological chair)
performs prostate massage
takes the secret (“juice”) of the prostate for examination
corrects paraphimosis
catheterization of the bladder
bougienages the urethra, that is, it passes a metal probe through the urethra under local anesthesia
removes neoplasms of small sizes on the external genital organs with an electrocoagulator
produces quenching of the seminal tubercle
removes a foreign body from the urethra
changing an indwelling urinary catheter
injects drugs 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 genitals of a man
opens boils on the male genital organs
cuts adhesions on the foreskin
prescribes and can conduct ultrasound of the scrotum organs, 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 include inflammation or irritation of the urethra and bladder.
Upper urinary tract infections (these include the kidneys and ureters).

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

You feel mild abdominal discomfort and urination becomes a problem.
There was pain or burning during urination.
Increased urge to urinate, including at night.
You are unable to control urination.
Periodically there is a feeling of incomplete emptying of the bladder.
Urine began to smell very strongly.
The color of the urine changed, became cloudy, blood appeared in it.
You feel pain in the lower abdomen and inexplicable fatigue.

Urologist Fominykh M.A.

What can a urologist detect?

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

For the timely diagnosis of diseases of the genitourinary sphere, a man needs to undergo a preventive examination at least twice a year. In the early stages, all urological diseases are quickly and successfully treated and do not give serious complications. If you live an active sex life or you are over forty years old, visiting a urologist is a must. Throw away false modesty and prejudice: taking care of your male health is a really adult act.

Prevention of urological diseases

To avoid urological diseases, doctors recommend following simple rules:

Underwear should fit you in size, be made of soft natural fabrics, and provide good breathability.
Stick to proper nutrition and exercise.
Avoid casual sex. Use protective equipment.
Do not sit on cold surfaces. Dress for the weather.
Maintain personal hygiene.
Have regular check-ups with a specialist.

How to choose a good specialist?

Finding a good urologist is easiest in a large clinic with a urology department.
You can make an appointment with a high-class doctor by insurance agents who carry out individual health insurance. Usually they know doctors well not only personally, but also receive feedback from patients who have already used urological services.

A visit to the urologist: how to prepare?

In response to the query “how to prepare for a visit to the urologist,” a popular search engine returns over 23,000 links. Internet users are interested in how the doctor’s examination goes and whether it is necessary to take any measures before visiting him. And really, is it necessary? We find out what it 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 the urologist is partially close to the andrologist and gynecologist - male and female doctors, but in no way replaces them. Many diseases and disorders that are the focus of urology: for example, overactive bladder syndrome, urinary incontinence, cystitis, pyelonephritis, urolithiasis, are common to both sexes, as well as injuries to the ureter, bladder, and kidneys.

Reason to see a urologist

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

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

discomfort during urination (pain, cramps, etc.);

pulling pains in the lower abdomen, in the lumbar region;

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

urinary incontinence during physical activity, regardless of its intensity (in particular during laughter, coughing, sneezing, lifting weights, 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 cosmetics for intimate hygiene: gels, soap), put on fresh underwear and generally look neat. You can also take a bottle of drinking, always non-carbonated water (0.5–1 l) with you and fill out a urination diary in advance. A sample or form of a diary (and in fact a questionnaire with a small number of items) is easy to find on the Web. And water will come in handy 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 small needs a couple of hours before the examination.

You should also temporarily (the day before the visit to the doctor) exclude from the diet foods and drinks that provoke increased gas formation: peas, lentils and other legumes, fresh vegetables, berries, fruits, dairy and sour-milk products. Under the ban and alcohol.

Urologists also advise to refrain 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 the examination of the urologist

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

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

Other forms of examination and laboratory tests are also possible, such as PCR diagnostics, testing 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, to 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 the appropriate therapy. At the current level of development of urology, there are practically no diseases of the urinary (genitourinary) system that would not be amenable to diagnosis and treatment. The main thing is the desire of a person to take care of his health and the willingness to fulfill the appointment of a doctor.

THE ARTICLE IS FOR INFORMATIONAL CHARACTER. FOR ALL QUESTIONS CONCERNING YOUR HEALTH, PLEASE CONTACT YOUR PHYSICIAN.

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here recently my friend was at the urologist's and told me drunk that he had pains in the perineum. I don’t know what happened, but it seems young and healthy, nothing hurts and sex without problems. Male urologists are always men themselves, women do not work here. I used to think it was like that, but recently I realized it. In short, he forced me to give him prostate juice for analysis. He put his gloved fingers in his ass and began to knead in the rectum. Liquid dripped from the end and by the way it hurts! I was in pain, but how is that normal? In general, a little dripped into the jar there and let me go.
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40. Svetlana | 27.03., 19:12:00

I was at the urologist. I was also very afraid at first, for some reason this area of medicine really likes the peasants. In the whole city I did not find a woman urologist. The doctor didn't even touch it. I immediately sent for a general urine test, but I had a different problem - frequent urge to urinate. At the next visit, he prescribed treatment. Helped a lot.

I'm a little scared right now. There is a trip to the urologist, he is a man, but this is not what scares) The fact is that he is an acquaintance of a friend and knows my husband. When I called to consult, he said what tests to take and said that I needed to do an examination .. Somehow it becomes embarrassing at the thought that one of your friends is aware of your insides)))) scare))

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Diagnosis of cystitis in women

1. Non-instrumental examination

Measures of non-instrumental diagnosis of cystitis, which can be taken by a urologist, are:

History taking. that is:
- episodes of urinary tract infections;
- transferred operations on the urinary system and small pelvis;
- concomitant pathologies (nervous and endocrine systems, diseases of the gastrointestinal tract);
- cases of violation of the diet in the form of provoking food, alcohol are also recorded.

Collection of complaints on the:
- frequent and painful urination, usually occurring after a violation of the diet or hypothermia;
- imaginary urge to urinate;
- for the presence of blood in the urine.
- pain in the area of the bladder, the intensity of which is directly related to the severity of the inflammatory process;
- dark color of urine, indicating the presence of erythrocytes, leukocytes, bacteria, epithelium.
Physical (finger) examination projections of the bladder and the area above the pubis in order to identify soreness;
Formation of a diary of urination. that is, data on the volumes of a single fluid intake and a single urine output within 2-3 days;
Gynecological examination in the assessment chair:
- conditions of the mucous membrane of the vestibule of the vagina;
- the external opening of the urethra and its location relative to the vagina;
- pain on palpation through the vagina of the bottom of the bladder;
- the state of the urethra and adjacent tissues;
- stiffness of the hymenal ring and its traces - it is possible to throw an infection during intercourse (examination of the vagina using the O Donnel method).
Calibration of the urethra with olive-shaped bougies in order to identify organic infravesical obstruction.

2. Laboratory examination for cystitis

Laboratory diagnostic methods are:

General analysis of urine to detect signs of inflammation, consisting in a large number of leukocytes and erythrocytes 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 detect 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 is carried out using:

Ultrasound of kidneys and filled 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, 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, the introduction of a special instrument with a video camera into the bladder through the urethra, which allows for a visual assessment of the walls of the bladder, to exclude neoplasms. This method is contraindicated in the acute period of the disease. If there are suspicious areas, then during cystoscopy, they are biopsied for subsequent histological analysis;
Uroflowmetry with the establishment of the volume of residual urine to exclude infravesical obstruction;
Comprehensive urodynamic examination. consisting in carrying out uroflowmetry, profilometry, cystometry, electromyography of the pelvic floor organs in order 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, are determined and recorded;
Computed tomography of the pelvic organs. as the most informative method of research, giving layered x-rays of all organs of the small pelvis;
MSCT (multispiral computed tomography) pelvic organs. This method is distinguished by high information content, accuracy, high resolution, and the possibility of obtaining three-dimensional images of organs and tissues. MSCT is successfully used in the early diagnosis and screening of a number of many 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 small pelvis and identify pathological changes in them.

Do you have any questions? Ask them to a urologist online! Urologist andrologist online will answer shortly here.

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

The list of narrow specializations of doctors can lead the patient into slight confusion. Therefore, for any pathologies, you visit a local therapist 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 poor urine tests and certain complaints. For a detailed examination and clarification of the diagnosis, you get a referral to a urologist.

You should not consider a urologist exclusively male (this is a common opinion). A doctor of this specialization deals with pathologies of the genitourinary system, regardless of what gender a person has them. Perhaps, only pediatric urologists who treat young patients can be singled out as a separate group. The division of all doctors into adults and children is due to the physiological and anatomical features 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 bladder and urinary tract. Pathologies and defects of the genital organs in men. Pathology of the prostate. Diseases of the kidneys and adrenal glands. Infertility.

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

Classification of doctors

All urological specialties are divided into additional, narrower groups:

Urogenycology. The doctor deals with the treatment of urogynecological ailments in women. There are a large number of pathologies that can be equally considered as urological and gynecological. Andrology. An andrologist treats male pathologies. This includes not only inflammatory diseases, but also congenital defects of the male reproductive system. Pediatric urology. A consultation with a pediatric urologist is needed 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 tuberculous nature. Geriatric urology. Quite an extensive and complex area of urological science. Her contingent is elderly patients. Emergency urology. The doctor specializes in emergency surgical care in the urogenital organs.

Preparation for the reception

The urological appointment requires little preparation, which is slightly different for women and men. In addition to a general visual examination and anamnesis, the doctor also performs other diagnostic manipulations. We will describe below how the examination by a urologist is carried out, but for now we will focus your attention on the preparation that is required before an appointment with a urologist.

How to prepare a woman

Do not douche before examining a urologist. It is not necessary to carry out hygiene of the genital organs with disinfectant solutions (furatsilina, chlorhexidine). The doctor will need to take tests, and after using medicinal solutions, the indicators may be unreliable.

How to get ready for a man

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

Refusal of sexual intercourse within 2 days before undergoing an examination. Cleansing enema. Cleansing the rectum is required so that the doctor can perform a digital examination of the prostate gland through the rectum. Do not be afraid, and embarrassed by the erection that occurs during such an examination - this is normal. Worse if an erection does not occur. A cleansing enema can be replaced by taking a laxative the day before.

Urologist appointment

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

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

Nothing terrible happens in the urologist's office. The examination begins with a simple conversation. Answer the doctor's questions in detail, this will help an accurate diagnosis. If there are chronic diseases, the doctor needs to know what medications the patient is taking constantly. Don't forget to mention them. Along the way, the doctor examines your outpatient card, looks at the tests, the results of which should be glued to it. If the reception is primary, and you did not take tests, the doctor will definitely prescribe them. Some tests are done right in the office.

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

To examine the genitals of women, the doctor uses a gynecological chair. In men, the doctor conducts a visual and palpatory examination of the external genital organs, after which he proceeds to examine the prostate gland. Anatomically, the prostate gland of men, on the one hand, is adjacent to the bladder, on the other hand, it touches the rectum. 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 offered to lean on the couch, leaning forward. The doctor inserts a finger into the rectum and feels the prostate. For your information, the same method is used to massage the prostate in men, analyzes of the secretion 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, it is enough to make an appointment with him at the clinic's registry. If another specialist recommends that the 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. We'll let you in on a little medical secret. Any doctor, including a urologist, to whom you are about to make an appointment, trusts the laboratory of the institution in which he works more. If you need some 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, in his opinion, level.

And if you do not live in a metropolis, and you cannot find a urologist in your latitudes? How to make an appointment, and most importantly, where to find a good specialist?

Finding a doctor these days is easy. Addresses of clinics and private medical structures are easy to find on the Internet, you can also sign up without leaving your home. But you want to be examined by a good doctor, and not the one whose phone caught your eye first! Therefore, we dare to give you some tips that guarantee high-quality and competent service.

Finding a good urologist is easiest in a large clinic with a urology department. You can make an appointment with a high-class doctor by insurance agents who carry out individual health insurance. Usually they know 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 structure, first check the availability of a license and diplomas of the relevant education. Serious honey. institutions do not hide them.

Our advantages:

Inexpensive doctor's appointment from 900 rubles Urgently analyzes 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 seen as a male-only physician who treats a variety of genitourinary disorders, ranging from sexually transmitted infections to kidney, prostate, and bladder tumors. Therefore, clinic administrators almost never have additional questions when making an appointment with a urologist for a male patient.

Women, on the other hand, traditionally, with 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, the 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. Syndrome of neurogenic overactive bladder. Urolithiasis disease. Tumors of the urinary system.

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 clarified, 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, performs tapping and palpation of these areas, finds out the presence of pain and visible changes. Next, the patient is placed on a couch or urological chair, where the urologist examines the external genital organs, the urethra, determines visible changes (pathological discharge, papillomas, sores), palpates the urethra and bladder through the vagina and abdominal wall. At this time, a urologist can take material from the urethra for PCR diagnosis of STIs, seeding for flora and sensitivity to antibiotics. Sometimes it is necessary to perform urethro- and cystoscopy. That is, with a special apparatus 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, suspicious tissue can be taken for examination.

A urological examination is only the first part of a woman's examination by a urologist. Next, an ultrasound examination of the kidneys, bladder, ureters and laboratory tests of urine, smears from the urethra 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 in the urethra or bladder are detected in the bladder, the woman is treated not by a gynecologist, but by a urologist.

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

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

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

For the treatment of CYSTITIS, our readers successfully use

Galina Savina's method

Having carefully studied this method, we decided to offer it to your attention.

How to choose a doctor?

Some people practice self-medication, believing that cystitis is not dangerous, however, with such a disease, a doctor is required. 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 referral to a specialist.

Often people do not go to the doctor even if they have all the symptoms of the disease, just 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. Building a treatment strategy may require the combined efforts of several specialists. Therefore, it is impossible to say unequivocally 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 deals with the treatment of diseases of the urinary system. This applies to both genders. 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 going to the urologist, which leads to the progression of the disease. Therefore, it is necessary to discard 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 with more than just problems with the urinary system. Sometimes this disease is provoked by infections that have arisen in the genitals. This means that in order to make the correct diagnosis and quality treatment, you will also 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 the surgeon. All this means that for the treatment of cystitis, a woman usually needs the help of several specialists, while a man just needs to go to a urologist.

A man going to this specialist is usually not perplexing, while the presence of a woman in the queue surprises many. If you still can’t overcome embarrassment, you should go to the therapist and tell him about the symptoms you noticed. He himself will issue a referral to the doctor who will help.

What does a doctor do?

The actions of the therapist when a patient contacts him with suspected cystitis depend on the patient's gender: a man is necessarily sent to a urologist, a woman - to a urologist and gynecologist. These doctors will find out what symptoms were found by the patient and refer them 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. Through this analysis, the bacteria that caused the disease are identified. Ultrasound of the pelvic organs. This method is used to examine women. Cystoscopy. It allows you to establish changes in the bladder. Tests for genital tract infections. Most often used in relation to the female half, but are also possible for men.

According to the results of this examination, a treatment is prescribed that is suitable in each 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 the qualitative treatment of this disease.

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

Therapy, unlike diagnostics, is prescribed without regard to gender. The doctor focuses only on the identified features of the disease, on the basis of which he chooses tactics. With an infectious origin of cystitis, 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 effects, which is carried out through compliance with preventive measures. The patient should follow all recommendations to avoid complications.

When diseases of the reproductive sphere are detected, which caused 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 consistent with the actions of the gynecologist (in relation to the female). 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, on the level of his qualifications. The best option is to first contact the therapist, who will decide whether it makes sense to carry out further diagnostics.

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

Feedback 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 was 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 every 5 minutes to the toilet, the cramps during urination, which had tormented me before, receded. All symptoms of cystitis are gone. The mood improved, the desire to live and enjoy life again appeared! Try it and you, and if anyone is interested, then below is a 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 on your side yet ...

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

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

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

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