Manual Diagnostic Techniques in Urology

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Update Required To play the media you will need to either update your browser to a recent version or update your Flash plugin. Our policy on cookies and other tracking technologies. All urologists must first complete postgraduate education at an accredited medical school. While you can enter medical school with a non-science degree as long as you complete the prerequisite math, science, and humanities courses , most enter with a bachelor's degree in chemistry, biology, or a related science.

The first two years consist primarily of classroom or laboratory studies. The second two years involves clinical rotations in medical facilities to gain hands-on exposure to different fields of medicine. After graduation, you would enter a urology residency, most of which begin in September and last for five years. The first year is spent in general surgery, with the remaining four years devoted to the diagnosis and treatment of urological disorders, Including congenital deformities and urological cancers. After the completion of residency, you will need to be licensed in the state in which you intend to practice.

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You would do so by passing the U. Some states also require you to pass a state licensing exam as well. Although it is not required, you can gain board certification by taking the two-part exam administered by the ABU.

The initial qualifying exam is taken immediately after residency and consists of multiple-choice questions. Candidates who pass the written board exam must spend at least 16 months practicing before they are eligible to take the final, three-part oral exam, given annually in Dallas, Texas. Board certification is essentially a stamp of approval of your skills as a urologist.

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It increases your job opportunities in a highly competitive field and is required for employment in many hospital, academic, and research facilities. Although some people will see a urologist as their first point of contact for a genitourinary disorder, most are referred by their primary care doctor or gynecologist. It is not uncommon to feel uncomfortable about meeting a urologist since a visit commonly involves an examination of the genitals and pelvis.

It often helps to share these concerns with the urologist when you first meet and ask that you be walked through the procedures. For some people, "breaking the ice" is all that is needed to overcome anxieties. Generally, the best way to find a urologist is through a referral from your primary care physician or someone you know. The next step would be to verify the doctor's credentials. The ABU does not offer a credential verification service, but you can usually check on a doctor's qualifications through the DocInfo website managed by the Federation of State Medical Boards.

There, you can find detail about a doctor's education, licenses, board certification, and any legal, civil, or disciplinary actions filed against the physician.

INTRODUCTION

You should also take the opportunity to interview the urologist, particularly if you require surgery or other invasive procedures. You can ask, for example, how experienced the doctor is in a certain procedure or how many patients he or she has treated with the procedure. When arriving for your appointment, bring your insurance card, ID, and any medical reports or imaging studies relevant to your condition.

You can also ask your primary care doctor or referring physician to forward any pertinent files electronically in advance of your appointment. If you have health insurance, double check that the office accepts it. If also helps to know what labs and other facilities they use to check whether they are in-network or out-of-network providers. Urology can be a rewarding career and one that can provide you a better work-life balance than some other medical specialties.

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That is not to say it is not without its stresses. Many people fear urologists because the practice involves intimate examinations or require urinary catheters to perform certain tests. Urologists are ever-cognizant of these stresses and need a certain emotional resiliency to deal with them. There may also be emergencies to deal with on weekends and evenings, including urgent calls about kidney stones or post-surgical complications.

Surgical techniques in urology - Richard Wolf

With that said, many urologists work normal office hours, often in high-paying individual or group practices. Because they are so in-demand, urologists are among the highest paid medical specialists. Sign up for our Health Tip of the Day newsletter, and receive daily tips that will help you live your healthiest life. Kreder, J.


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Tanagho, E. DOI: Pruthi, R. Recent trends in the urology workforce in the United States. Procedural Expertise.


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  • Training and Certification. Appointment Tips. View All. More in Urological Health. Urologists not only treat men and women but children as well. Conditions Treated. Some of the more common urologic conditions include:. Acute cystitis bladder infection Bladder stones also known as vesical calculus Inguinal hernia involving the lower abdomen Interstitial cystitis also known as bladder pain syndrome Kidney stones also known as renal calculus Pyelonephritis kidney infection Renal cell carcinoma kidney cancer Sexually transmitted infections like chlamydia or gonorrhea Transitional cell carcinoma bladder cancer Urethritis inflammation of the urethra Urinary incontinence including bedwetting and overactive bladder Urinary tract infections commonly known as UTIs.

    Urologic conditions affecting women include:.

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    Cystoceles a fallen or prolapsed bladder Labial fusion a congenital defect in which inner lips of the vagina fuse, occasionally affecting urination Postpartum incontinence incontinence after pregnancy. Urologic conditions affecting men include:. Benign prostatic hyperplasia enlarged prostate Erectile dysfunction Epididymitis inflammation of the tube that carries sperm from the testicle Epispadias a birth defect in which the urethra opens on the top of the penis instead of the end Hypospadias a birth defect in which the urethra opens on the underside of the penis Male infertility Peyronie's disease the formation of scar tissue that causes the penis to bend abnormally Prostate cancer Prostatitis prostate inflammation Retrograde ejaculation in which semen is diverted to the bladder during ejaculation Testicular cancer Testicular torsion a twisted testicle Ureteroceles a birth defect that prevents the normal flow of urine from the kidneys to the bladder Varicoceles the enlargement of the veins in the scrotum.

    Physical Examination. Imaging Studies. Other Procedures. Surgical and Non-Surgical Treatment. Medications commonly used in urology include:. The American Urological Associaton currently recognizes seven urology subspecialties:. Urologic oncology genitourinary cancer Calculi urinary stones Female urology Infertility Kidney transplant Pediatric urology Neurourology involving nervous system disorders like Parkinson's disease and stroke that affect urinary control.

    How to Find a Urologist.