Angie's LIST Guide to
Urology

Urology deals mainly with bladder, urethra and kidneys but ultimately involves the entire body due to the production of hormones in this region and quality of life issues that occur when they don't function optimally.
 
Medical specialists focus on specific areas of health care. Depending on the condition, a specialist can offer more individualized treatment.
Medical specialists focus on specific areas of health care. Depending on the condition, a specialist can offer more individualized treatment.
 
 
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Areas covered under urology

One main topic of urology involves the kidneys, those tiny organs located near the ribcage. Although they're small, your kidneys are responsible for stabilizing many substances in your body. The overall health of bones and blood cells relies on the hormones produced by the kidneys.

A urologist will also treat the adrenal glands, which are equally small, but equally powerful. Located just above the kidneys, the adrenal glands produce steroids and other hormones that your body uses to regulate kidney function, blood pressure and sexual functions.

Pediatrics, gynecology and internal medicine could all be involved when diagnosing, treating and managing patients with disorders in any of these areas. A urologist also specifically treats dysfunction of the male reproductive organs such as testes, prostate and penis.

Urology involves seven specialty areas: pediatric, oncology, renal transplantation, male infertility, urinary tract stones, female urology and neurouology.

A pediatrician my refer boys to a pediatric urology department to assess common problems unique to boys such as undescended testicles and structural problems with the penis. Another common issue addressed by this specialty includes problems related to continence in children of both sexes.

Oncology is part of urology when the issue involves cancer in the kidneys, prostate or bladder. Cancer care includes experimental treatment options, surgery and ongoing research in the field.

Another serious subspecialty focuses on renal transplantation. Kidney failure can result in dialysis or transplantation in order for a patient to stay alive.

Painful urinary tract stones can affect anyone. These hard masses can form in the urinary tract and can cause pain, bleeding, obstruction of the flow of urine or an infection.

Urologists can also specialize in the treatment of male infertility, diagnosing and treating cases of low sperm production or blockages that prevent the delivery of sperm.

The specialty of female urology deals with the diseases in a woman's body when it relates to the bladder, kidneys or urinary tract.

When complications arise after a medical crisis, such as stroke, multiple sclerosis, Parkinson's disease and spinal cord injury, neurourology plays an important role in treating nervous system diseases and disorders that affect the urinary system.

Common reasons to see a urologist

Seeing a urology specialist is the best way to resolve urinary tract proplems. If your problem requires surgery, a urologist could use reconstructive surgery or, the less invasive laparoscopic surgery, which eliminates the need for a large incision and can in turn shorten the time spent in recovery.

Whenever you're experiencing pain, discomfort or lack of proper function in your bladder, urethra and kidneys, you should make an appointment to see a doctor. The following problems are common reasons for seeing a urologist.

Kidney stones are a painful problem. These hard masses can form due to excess calcium or acidic urine. Physicians may treat them with a technique that shatters the mass with shock waves outside the body (called extracorporeal shock wave lithotripsy), which makes it easier to pass. If this doesn't work, surgery is most likely necessary.

Issues such as an enlarged prostate are often the driving force behind consulting a urologist. Enlarged prostate causes a frequent need to urinate, which in turn can disrupt a man's ability to sleep.

Urinary tract infections (UTIs) are bacterial infections, contributing to the feeling of general malaise, fever and painful burning when urinating.

Sexual dysfunction is also a part of this branch of the medical field. Intervention could be as simple as suggestions to improve diet and lifestyle or involve medication or a surgical procedure.

Finding the right urologist

If you know that you'll need the services of a urologist, contact your health insurance company to make sure that this medical specialty is covered. Depending on your policy, you may need a referral from your primary care physician in order for your policy to pay for treatment.

Read through the listing of urologists in the provider directory available from your health insurance company, and carefully research the doctors you are considering. Verify their qualifications, education, continuing education, accepted insurance plans and affiliated hospitals by consulting Angie's List, where you can also see member reviews and rankings.

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