What a urologist is looking at boys. How is the inspection of the doctor of the urologist. The causes of a pathological nature may be such

21.08.2020 Preparations

How often should the boy lead to a urologist, what problems can develop in the very early agewhat kind of symptoms pay special attention and what important moments Hygiene can not be missing? Vladislav Kistin's urologist answered us to these and other questions and gave a few useful Soviets All mothers and dads.

Vladislav Kystena
urologist of the first qualifying category of the Ecomedservice Medical Center

It would be nice to bring a child to a prophylactic examination at least once a year

- When is the first inspection of the boy from the urologist?

- as a rule, the primary inspection is held in the maternity hospital in the maternity hospital (a specialist who is directly involved in the care of the health of a newborn baby) to evaluate general state Baby. When identifying suspicion of a certain pathology, a urologist is invited to schedule further tactics of surveys, observation and treatment.

- Preferably, in the first year of the child's life, at least once to show his specialist to, first, to notice the problems in time if they are, secondly, that the doctor explain to parents to pay attention to how to properly carry out hygiene and so Further.

The further frequency of visits should define a urologist. Everything will depend on the state of the boy's health. If we talk about prophylaxis, it would be nice to show the baby once a year.

Fimosis in boys is found in 90-95% cases

- What are the smallest problems most often?

- in the first place is worth phimoz (The narrowing of the extreme flesh of the penis). At about 90-95% of cases, this problem occurs in newborns. True, at this age, such a state is referred to normal. By the year, the head, as a rule, opens in 50% of kids, by 3-4 years - in 90%, by 14-17 years - in 99%. In principle, up to 3-4 years old phyms is considered physiological phenomenon. This is a kind of protective mechanism that prevents external infection to enter the penis head.

By the time of puberty, the head itself must open completely. But this condition is still important to track. Because sometimes on the background of phimosis, the inflammation of the extreme flesh is developing, which can lead to scarring.

- Ply pathological phimosis The narrowing of the extreme flesh is so much expressed that it requires the intervention of specialists. Circumcia is often used - the procedure of excision of the extreme flesh of the penis.

There are glands on the penis head, which produce special lubricant - SMEGMU. If the residues of urine are mixed with Smegma, bringing with them an infection, it is possible to develop a chronic recurrent inflammatory process of extreme flesh - balanopostita. This leads to an even greater scarring of the extreme flesh and the spread of infection throughout the genitourinary system.

Approximately 10% of newborn boys are detected dropsyeggs - As a result of the preserving communication between the abdominal cavity and the cavity of the scrotum. For most children by year, this condition is normalized. But this is not always the case, and if the process persists, it is necessary to help a specialist.

Also meet cryptorchism - Uncomplication of the testicles in the scrotum. Translated from Greek as "hidden testicles" that can be located outside the scrotum - in abdominal cavity or inkhan canal. It is found in 2-4% of newborns. This state should be distinguished from ectopia. - the lack of eggs in the scrotum due to improper lowering, in which the testicle, coming out of the inguinal channel, changes the direction and is located under the skin in the groin, on the hip in the pubic or crotch area. These problems are dangerous, as they lead to the violation of spermatogenesis, androgenic function (hormone production) is disturbed. It should be known that the risk of malignant rebirth of an uninterrupted egg is quite high.

- about a quarter of children meets false cryptorchism - Feature of the egg, capable of independently migrate from the scrotum in the groin canal and back. This non-standard process is manifested due to the movement of a special muscle raising the testicle. For such a feature, it is also very important to observe.

Urinary incontinence is not considered pathology only up to 5 years

- What are the symptoms who should alert parents?

- First of all, it is a rapid urination, regardless of age. Do not confuse this symptom with another problem - urinary incontinence (enuresis).

W. bladder Three functions: urine accumulation, retention and emptying. The problem with any of these three stages is a sign of deviation from the norm. Approximately 5 years, urinary incontinence is not considered pathology. And yet, in this situation, you need consultation not only a urologist, but also a pediatrician, a neurologist and even a psychologist, since the problem is complex and the reasons for its occurrence.

In general, pay attention to the facial expressions and movement of the child, it is possible to urinate it hurts him or he just feels discomfort.

- Is it true that if the child is very long and loudly crying, he can develop inguinal hernia?

- Yes this is true. Also, often with pachnoy herniacombined and watering eggs. In the groin area there is a process of forming soft tissues. When screaming, intra-abdominal pressure increases, which is sometimes the intestines in the inguinal region and further in the scrotum. Although more often meet umbilical hernia. In general, the load is very big for the intact organism and can lead to complications. It is better to try to control this question.

The boy needs its separate towel

- What should be the boy's hygiene?

- Like girls, bathe babies should every day. Older boys are needed daily souls with washing genital organs using ordinary children's soap. I do not advise you to abuse various creams and oils without recommendation. If not external signs, irritation or dry skin, there is no need for them, but allergic is not excluded.

- It is also important to teach the child as much as possible to wash your hands, especially coming from the street. Children constantly study themselves, touch their own body, including to the genital organs, thereby can affect infection.

The child's towel must be separate. Elements of adult microflora (even if parents do not have any problems) there may be a pathological effect on children's microflora. If we talk about infectious agentsThey are enough "Luggage" in the external environment and can be transmitted by a contact-household method.

You need to go to the urologist not only adults. Today there are many opportunities for health information, for example, this is the Internet or print editions, but it is necessary to remember that every child is individual and give a complete and correct assessment of your baby's health can only a doctor.

Because she does not live in a sex life, but a boy to an urologist-andrologist. About the same reasons. In any case, if there are no complaints - it does not hurt anywhere and looks like everyone else. Both are incorrect.

The fact is that even small children are not protected from diseases of the genitourinary system. Sometimes these inconsistencies flow asymptomaticly, and the children do not suspect about them. Only a specialist can recognize any specialist. Urological androids suggest that these problems often detected only on the first inspection in school age Or even in the military office. Unfortunately, such inspections show that almost half of the boys have certain problems of the urinary system and reproductive health.

Handles, legs, cucumber

What do parents need to pay attention first? There are certain signs of violation of the children's urogenital system. If at least one of them is "yours," then the child should immediately show the urologist. These are these symptoms:

· In the planned analyzes of urine, your baby identified any violations;

· The urine has changed - color, nasty smell, turbidity;

· There were difficulties with urination - soreness, rare or, on the contrary, too frequent urges, urinary incontinence;

· An extremely disturbing symptom is a complete absence of urination;

· Painfulness in the field of kidneys, sometimes vomiting and bloating.

You often look at your baby, try to pay attention to the details. Say, edema (watering) eggs or redness, pain in the field of penis should be alarm for you. Remember: any malformations are easier to eliminate at an early age. It happens that the boy begins to cry when changing the diaper or the reception of water procedures, and you notice him redness in the field of the head of the penis. Many mothers in this case are resorted to the washing procedure with a weak solution of furaticiline or manganese. Perhaps indeed, there is nothing terrible here - some infection came, most likely, from dirty hands. After all, it is not a secret, as the boys often grab themselves for "this" place.

But if you see that inflammation and soreness do not pass, the baby crying when he pisses, and even more so if this phenomenon is repeated, - run to the doctor. Perhaps this phimosis is an incomplete disclosure of the head of the penis due to the narrowing of the extreme flesh, which often becomes the cause of inflammation, sometimes purulent. In the old days, this disease was usually treated surgically, but today doctors believe that it is necessary to resort to surgery only as a last resort.

Suppose you do not see any anomalies from your child, and he does not complain about anything. No disturbing symptoms do not mean that the child does not need to show an urologist-andrologist. Preventive inspection is obligatory to one year, and then at three years and 14 years. The very first inspection will show if the child has genetic vices of the genital organs, the narrowing of the extreme flesh, unrequisition of the testicles and other troubles. Three years - age when the boys often appear such diseases like water and hernia. And in 14 years, the diseases of the vascular vessels - varicocele often develop, so the visit to the doctor is obligatory.

"The reproductive system is not an easy thing," says Andrei Clokov, an urologist-andrologist of the highest category. - It includes many aspects: hormonal, psychological, anatomical. That is why Andrology is at the junction of several specialties and is interdisciplinary. "

Children's Andrologist is an endocrinologist, exploring the hormonal status of a future man, and a surgeon, because many (but not all) malformations are treated with operational intervention, and psychotherapist, because the urinary sphere even for a child is an intimate, delicate item. What he is older, the harder to talk about his problems. Andrologist, as an experienced general practitioner, will surely ask the way of life of the patient and pay attention to the mass of additional indicators - even on vision and hearing. "Andrology is called the most jewelry specialty: if the purpose of the surgeon, for example, to cure the patient, then the purpose of the Andrologist is to cure the patient so that he can have children in the future, says Andrei Clokov. - And this sometimes, oh, how not easy. "

How to prepare a child for visiting the urologist-Andrologist? Everything, of course, depends on the age of a young patient. A kid to three years old usually does not feel any psychological discomfort when inspection. If you go to the doctor with a suspicion of the water, then better try to appoint a meeting immediately after sleep: the boy must be in vertical positionOtherwise, inspection will not be too informative.

Older children special physical training is also required. However, since this age is already conscious, it is worth explaining the boy that this is for the doctor and what an inspection will have. Explain that this is also important and necessary - after all, every boy wants to grow strong and healthy. Tell me that all boys and men should go to this doctor at least once a year, and not because they have something hurts, and then, so that they do not hurt.

Teenage boys are the most difficult contingent. Even knowing about your problem, they prefer to be silent, as partisans, to suffer and tolerate than to complain to Mom. And after all, do not look like a little, whether everything is in order. Now, why it is so important to teach the boy to regular visits to such a specialist, and the best thing is to the same. For several years he will get used to the doctor and will trust him - in something even more than you. And this is normal.

If the teenage time is time to go to an urologist-Andrologist, and this happened for the first time, try to talk to him calmly, convince that it is necessary. Tell me about the following: "I know that you are already an adult man, and most likely everything is fine with you. However, no confidence does not prevent. In addition, all specialists are important in the medical record. " If a teenager boy does not want you to present when inspection, go out into the corridor. Let he stay with the doctor one on one. And you can always talk to your doctor. Yes, he himself will tell if there is a need for it.

If the boy himself said or hinted you about the desire to visit such a doctor, do not postpone the visit. Tomorrow the child's mood can change, and it will be very difficult to persuade it. Do not forget to remind an adheating son about the need to inspect the shower and change the linen.

Now the universal advice: so that no urological problems arose, you need to ensure that the child from early childhood observes intimate hygiene, wore a natural free, which is not lost underwear anywhere. This is important for the health of its urinary organs. In addition, it is necessary to dress warmly during the cold, the legs must be kept warm. This will not "stand up" kidneys and bladder.

Many male patients are shy to apply for a consultation to narrow specialists due to the delicacy of inspection. At the reception at the urologist, you can identify the main inflammatory diseases threatening with health. How to prepare for inspection and for which the annual prostate checks are needed - read in our article.

Narrow specialists help most accurately diagnose the cause of the patient's concern. When problems with hormones, it is worth visiting an andrologist or endocrinologist, women turn to the gynecologist, men - to the urologist.

However, you should not attach a specialist only to the male doctor. A urologist is a universal doctor who helps to identify and cope with pathology. urinary tract Male and woman. When contacting the general profile therapist, he will direct the patient with the symptoms of pain in the penis, appendages and problems with urination precisely to the urologist.

Separately, you can allocate a children's doctor. There is a urologist for adults and children. Such a separation is due to the physiological and anatomical differences in the structure of organisms.

Science "Urology" refers to the category of surgical specializations. Therefore, directly at the reception at such a specialist can also be obtained and emergency surgery. Also, the urologist performs directly at the inspection of some types of physiotherapeutic procedures.

Planned inspections

To preserve the health of the small pelvis organs, it is recommended to take the annual prophylactic inspections. Women without need and without visible symptoms of the disease there is no need to visit the urologist.

In men, most diseases occur in a hidden form. This is the first reason why it is worth a planned to visit a specialist. Such an inspection will help detect the development of the disease at the initial stage and stop it.

What is included in the planned annual inspection:

  • passing urine and blood tests;
  • rectal examination of the prostate;
  • additionally: Checking the kidneys, bladder, lymph nodes.

Most of the urological diseases on early stages not manifested by any visible symptoms, and very often time for them timely treatment It happens. Therefore, we recommend healthy men without complaints to see the urologist for the first time in 14 years and then annually.

According to the testimony

If a man or woman had previously found the pathology of the development of urinary tract, then attend the urological office will have more often. To monitor the development of the disease and extend the face remission stage, strictly follow the recommendations of the doctor.

Indications for addressing the doctor:

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

In this case, refer to the urologist will have more often than 1 time per year. It is recommended to undergo inspection, including laboratory diagnostics, at least 1 time in 3-4 months.

What complaints go to urologist

If men need to pass the urogenital system from a urologist, then women are more likely to address such a problem to the gynecologist. But there are complaints of general and guys, and girls. In this case, you should not risk your health and you need to immediately sign up for the reception.

The main complaints with which are addressed for advice and treatment with the urologist:

  1. Suspicious in men. A woman when discovering similar symptoms will be asked for help to a gynecologist. The separation of the urethra can be both within the limits of the norm and the sign of sexually transmitted diseases. They can be associated with inflammatory phenomena in the excretory channel and a prostate after supercooling. There may also be a complication of any disease of other organs. The urologist will prescribe bacteriological sowing, PCR tests and prostate ultrasound.
  2. Itching and burning in the urethre. This is a practically universal symptom that can talk about the presence of many diseases. However, when periodic manifestation can be suspected allergic reaction on latex, lubricant or manifestation of prostatitis, infection. Only a doctor will be able to clarify the cause of unpleasant sensations.
  3. The appearance of pain syndrome. Carrying can be felt in the area of \u200b\u200bgroin, in the testicles, on the head of the penis, around the anus and even give it to the lower back. The reasons for such pain is quite a lot: from yesterday's workout on a bike to the development of a benign or malignant tumor.
  4. Problems with urination. For such a question, they turn to urologist and women, and men. Such a sign talks about the problems with the kidneys, slowing the metabolism or the age-related changes in the body. In men, the initial stage of prostatitis is manifested, which in the inaction is fraught with the transition to a chronic form.
  5. The presence of blood in urine or sperm, as well as other impurities. it dangerous sign, talking about the presence of a running inflammatory or infectious process. The appearance of pus or blood is a symptom chronic disease, benign hyperplasia of impressive size or even cancer.
  6. The appearance of rash, ulcers, erosion or spots. In this case, the man should take care of the hygiene of the genital organs and urgently contact the urologist for testing for the presence of infection. The rash, redness and the appearance of strange spots are signs of the STD (sexually transmitted diseases).
  7. Development of erectile dysfunction. When decreasing libido, men often shy to consult a doctor. But in vain, because impotence develops rapidly and, if not taken action, becomes irreversible. At the same time, the specialist seeks the reason for the sluggish potency or its absence. The problem may be a deeper associated with violation of the hormonal system, diseases of the vessels, internal organs or genitourinary system. Even psychological problems cause dysfunction.
  8. Astheno-vegetative syndrome in men. With such a problem, you can also go to the urological inspection. This syndrome is manifested by increased fatigue, decrease in performance, irritability, psychological instability, sweating, tachycardia and common apathy.
  9. Suspections for the presence of a disease. A urologist can ask any delicate questions that you are concerned: the small size of the penis, no ejaculation, complaints of pain or. Even if pathology turns out to be contrived, it is worth checking out their suspicions.

It is important to follow your health, even if there are no open problems with urinary bodies. Sometimes, due to age-related changes, questions appear with potency, urination. In this case, the urologist will help to choose supporting therapy.

List of urological diseases

Among the diseases of the excretory system there are exclusive male pathologies and common diseases. Cystitis, urethritis, which also come to women, can be attributed to the universal. Due to the anatomical differences in the structure of the genital organs in men, specific pathologies arise.

List of most common urological diseases in men:

  1. Erectile dysfunction. These are problems with the hardness of the penis, when the area of \u200b\u200bthe cavernous member of the penis is not filled arterial blood To the extent to ensure a full-fledged erection. Most often, the disease appears in men after 45 years, smokers and diabetes patients.
  2. . Problems with prostate gland are observed in 70% of men on the older planet. In this case, the iron tissue may increase by interfering with the normal process of urination and in some cases causing a decrease in fertility.
  3. Phimosis This is a narrowing of extreme flesh. For boys under the age of 3 years, the head is hidden behind the fold of the penis, it starts to go to the six-year-old age. At the initial stage, the patient feels pain due to the inability to freely move away the extreme flesh. On the latter - you will need an operation that freeing the head.
  4. Balantostitis. This is an inflammatory process on the head of the genital organ. Suspicious rashes, ulcers appear on the mucous membrane and skin. The disease can be as a consequence of unbearable infection, as well as the cause of the development of phimosis (narrowing of the extreme flesh).

This list can be continued for a long time. The defects of development are less likely, in some cases there is a priapism - a continuous erection. Often the disease of urinary organs become a consequence of drug treatment.

Common diseases that are found in men and women:

  1. Enuresis. This urine incontinence that can be partial or complete. It is found among the representatives of both sexes, can manifest themselves at any age. Women more often arises after childbirth and passes without treatment in a few days. The reason for most cases is the nervous stress or defects of an anatomical structure.
  2. Cystitis. This is the inflammation of the bladder, which is manifested by burning in urethra when urination. IN acute form May cause severe pain. Especially often such pathology is worried about girls of preschool and younger school age.
  3. . The inflammatory process occurring on the mucous membrane of the urinary tract. According to symptoms, it is also similar to cystitis, the treatment diagram is also practically no different.
  4. Pyelonephritis. This is a bacterial disease caused by microorganisms in the kidney, 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 appointed only according to the results of laboratory studies and, depending on the detected pathogen. Antibacterial products 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 sexual intercourse to avoid infection.

Preparation for reception

Inspection of a man or woman from 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, it may take an ultrasound.

General requirements for the inspection of the urologist:

  • excluding sexual contacts 24 hours before the urologist;
  • refusal to receive painkillers for accurate diagnosis;
  • refusal to preliminary use of antibacterial agents.

The use of analgesics may prevent determine the location of pain. The doctor will not be able to put the correct diagnosis. According to a similar reason, the genital hygiene cannot be carried out before inspection using disinfectants (chlorhexidine, furacilin). The result of bacteriological sowing will in this case will be incorrect.

For inspection of women, a gynecological chair is used in some cases. Therefore, do not forget to capture a diaper for inspection. A day before the visit to the doctor, you must exclude sexual contacts to avoid foreign lubrication secretions.

The man needs to clean the rectum so that the doctor can hold a finger survey of the prostate. Do not be afraid and shy an erection that occurs during such a survey is normal. Worse, if the erection does not arise. Cleaning enema can be replaced by taking a laxative drug on the eve.

How is the survey of the urologist

Many patients are concerned about what they do at the reception at the urologist. Many men avoid prostate checks, since rectal tacking hurts their male honor and humiliate dignity.

Inspection of the prostate gland is an exclusively medical issue. More problems With constraint arises in patients of adolescence. Some specialists recommend that there are several drops of plant soothing agents based on Valerian before planned inspection.

Nothing terrible in the office does not happen. The survey begins with a regular conversation. Answer a doctor's questions in detail, it will help accurate diagnostics. If available chronic diseases, the doctor needs to know what medicine takes the patient constantly.

In parallel, the doctor examines your outpatient map, viewers analyzes, the results of which should be twisted in it. If the reception is primary, the urologist necessarily assigns some of which can be passed right in the office.

Men

Inspection of men differs from palpation of internal organs of women. Follow the requests of the doctors, you can report in advance that the inspection is primary.

How to take a man:

  1. Palpation. The patient falls on the couch, the doctor manually examines the internal organs of the abdominal cavity and kidney. Highly enlarged organs can be found at this stage of palpator inspection. Also, the specialist explores the state of the internal and external genital organs. This is a scrotum, penis, prostate gland and lymphatic inguinal nodes.
  2. Rectal prostate check. It can be carried out standing or in the knee-elbow pose. The doctor enters the finger to the rectum area to complete the state of the prostate, in some cases use an ultrasound sensor for this.
  3. Observation tests. A urologist when suspected of bacterial infection can take a shared stroke of urethra, which will help identify the presence of microorganisms. Also, an examination takes a sample of prostate if there is a need.

Inspection of prostate in men can cause pain only in the presence of acute prostatitis. In other cases, the procedure is painless. Drop the constraints, as the preservation of your health is more important than the worn male honor.

Women

In some cases, in the office of the urologist, you can see the presence of a gynecological chair. But in very rare cases, a narrow specialist is engaged in the inspection of the genital organs of a woman. Reception is slightly different from male health check.

Stages of urological examination of women:

  1. Conversation. The patient reports its problems, describes the symptoms that bother it. The doctor also simplifies the history of the woman, the presence of other diseases. To tell the urologist is about all suspicious manifestations of the deviation of the urinary system.
  2. Palpation. The doctor will suggest to lie down or hold an inspection in the standing position. Palpation of small pelvis organs: bladder, kidneys. The condition of lymphatic nodes is also investigated.
  3. Instrumental research. If necessary, the urologist uses such modern diagnostic tools as ultrasound, laboratory studies, instrumental and endoscopic methods.

Just like men, a fence of urethral discharge is carried out. The main difference is the lack of study of the female genital organs and the prostate gland, as there are no prostate. Instrumental diagnostics It is carried out only in the case of explicit manifestation of symptoms and medical suspicions for the presence of pathogenic development of the disease.

Sometimes at the reception at the urologist, men will get closed in themselves and can not tell about delicate problems. One of the most common reasons for this is a man's examination of a woman's urologist.

Even despite the fact that medical issues are solved in the office of a specialist, a man covers 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:

  1. Think of health. First of all, you came not to flirt, get acquainted or start a family in a urological office, but to solve your problem.
  2. The doctor saw and not. Remember that a daily urologist examines a huge number of patients, after 20 minutes another shy man will fall to it.
  3. Medical ethics. The doctor has no right to talk about the small amount of penis and distribute information about the presence of diseases.

Calm down and go boldly into the doctor's office. If the urologist is a woman, it does not mean that she is a bad specialist. Trust it with medical attention, do not divide the sexual sign and follow the instructions of the doctor.

Knowing that the urologist in men can be prepared and physically, and psychologically in advance. Also at the reception of the urologist can use additional instrumental diagnostic methods. The most common species are described in the table.

Additional urological procedures Description and species
Endoscopic methods A method that allows you to explore the urethra. Methods such as urethroscopy, fibroidics, cystoscopy, nephroscopy, pyeloscopy apply
Physical research Methods helping the most accurate to determine the condition of the internal organs. These include ultrasound procedure, review radiography, excretory urography, infusion urography, retrograde ureteropelography, antitectural pyelureterography
Instrumental diagnostics The method of diagnosing the diseases of the urethra in men and women. Study of the bladder with the help of a catheter, the bodging of the urethra, puncture biopsy - removing a piece of fabric for research

This list does not end in diagnostic methods. If it is impossible to investigate part of the internal organs, an operation is assigned. Surgical intervention will help to diagnose and even become an emergency treatment method.

How to choose a specialist

The choice of a specialist depends not only on the presence of a urologist in a free clinic, but also the financial position of the patient. You can make an appointment with a private center to get faster results of laboratory tests.

Not all types of diagnosis can be passed free of charge in the clinic at the place of residence. It is possible to make an appointment to the local urologist, and further undergo the study of urinary tract in a medical center on a fee basis.

The cost of receiving the urologist will bypass from 500 rubles, and the delivery of analyzes is from 1,500 rubles. In the central regions of Russia, the cost of the doctor's services is even higher.

To find good doctor It is easy, you can simply find information about the Internet specialist. Each private center has its own website, which describes the achievements of its employees, there are newspapers.

Several tips to choose the best doctor:

  1. Choose a narrow medical center. It is better if it is an urological clinic or a private medical office, in which every corner is assembled for the diagnosis and treatment of urinary tract diseases.
  2. Explore reviews. Ask the Council from a neighbor, girlfriend, look at the forum a page dedicated to the reception of a certain specialist.
  3. Rate the percentage of recovered patients. The higher the effectiveness of treatment, the more responsible the urologist comes to the fulfillment of its work.
  4. Novelty medical institution. If there are new equipment, the chance is increasing accurately diagnose the presence of certain diseases.

Some men choose the doctors of only strong sex, embarrassed by the female inspection. Others prefer experienced professionals aged. The choice also depends on personal preferences. The main thing is to take the first step by contacting help.

Video

How to inspect the urologist - learn more from the video.

Most patients add only to "popular" doctors, such as surgeon, therapist, oculist, gynecologist. But when it comes time to visit the urologist, they are in full confusion and are trying to find answers to many questions.

The main, of course, are questions about the urologist what makes how to prepare for receiving and where to find a competent specialist. About this and many more today and will be discussed in our article.

Most often, with ailments, patients go to a reception to the therapist - he knows exactly to which specialist to send the suffering for further consultation and treatment. But knowledge of narrow specialists is most often limited.

For example, what does a urologist at the reception e.Many do not even guess. And in fact, everything is simple - the urologist is a doctor who is engaged in the treatment of diseases of the human genitourinary system.

A urologist eliminates such problems as:

  • inflammatory processes ;
  • infectious diseases urinary tract;
  • pathology and defects of the genital organs;
  • infertility;
  • diseases of kidneys and adrenal glands;
  • injuries of the genitourinary system;
  • tompetions (tumors, cysts,) of the urogenital system and so on.

A specialist urologist, contrary to the rooting opinion, treats not only men, but also women. Some immediately ask the question of , what does a urologist at the reception of women?

Women at the reception specialist, as well as men make an inspection, collects the history of the disease, assigns analyzes and diagnostics, and then makes a diagnosis.

In addition, sometimes a specialist should be visited during pregnancy and in childhood - Sometimes for the correction of problems, sometimes for advice.

But it is not necessary to confuse the work of a urologist with a gynecologist - they have different directions of work, although often their activities intersect or even flows from one orientation to another.

When should I visit the doctor?

Of course, many attend a doctor only to pass the medical examination - when applying for work or on their own request. Others are forced to visit a specialist due to health problems.

So, you should be visited by a doctor with the following ailments:

  • and frequent calling for it, especially at night;
  • changing the urine color, the appearance of blood impurities or mucus;
  • incontinence;
  • discomfort in the navel area and lower abdomen - stitching, cutting, drawing pain and so on;
  • allocating unclear origin and more.

In addition, with any discomfort in the field of kidneys, discovery of stones on the results and other neoplasms, it is necessary to take advice from the urologist.

Only timely appeal to a specialist, high-quality treatment and full surveys will allow you to quickly eliminate the disease on initial stageswithout letting it spread and go to a complicated form.

Preparation for inspection by a specialist

In order for the doctor's inspection quickly and comfortably, it should be prepared in advance to it, both men and women.

Personal hygiene - first of all

Women should be prepared as well as to the gynecologist - on the eve of the reception to be washed with warm water, capture a diaper and socks with it. In some cases, the inspection is carried out on the gynecological chair. In addition, a day before the inspection should be abstained from sex contacts.

It is recommended not to use soap or gels for the shower when you knead, as well as eliminate the use of douching and use disinfectant For arms, such as chlorhexidine and similar.

Men must be mandatory on the eve of making a cleansing enema or to accept the laxative.

It is also worth refraining from sexual life at least two days before taking.

And men and women, and children should take on the reception of the boots, as well as your documents - polis, passport, birth certificate, medical card, sanitary book, and so on.

If you are very worried before taking, it is best to drink a light soothing (Valerian, mother-in-law, hawthorn). Only so you can accurately draw a picture of the disease and do not forget anything important.

What does the doctor do at the reception?

To the question of what a urologist at the reception of men, and what makes the urologist boys can be answered exactly as well as to the question at the reception at the urologist what are there?

At the reception at the urologist, diseases of the urogenital system are treated, patients consults, prescribe the passage of one or another type of diagnosis and so on.

In general, the urologist at the reception does the same as all other doctors - both wide-profile and specialists of narrow qualifications, namely:

  • collects anamnesis of the disease;
  • asks the patient about his well-being, symptoms, sensations;
  • tries to determine the time frame for the start of the disease;
  • conducts an external examination if necessary;
  • assigns additional diagnosis, if necessary - ultrasound, and blood, MRI and much more;
  • based on all the data obtained, it makes conclusion about the state of the patient, assigns appropriate treatment and explains the patient's possible forecasts of the disease.

Now, the question of what does a urologist at the reception does not need to disturb you anymore. After studying the material carefully, you will know exactly how the reception is going on, what diseases the doctor treats, which makes a urologist at the reception of a woman, and also how to prepare for receiving.

By the way, pregnant women often think: a urologist during pregnancy, what does and why should it be visited?

Is there a not enough gynecologist? Answer uniquely can not be here.

Sometimes, enough observations from the gynecologist, in the other cases, it is necessary to visit the urologist. It is important to understand that it is just no one for you to appoint a doctor to appoint a doctor, and even more so treatment.

If your therapist or gynecologist insist on visiting the urologist, or you yourself feel ailment, then you're better not to delay the visit to the doctor in order to avoid complications.

Who can replace the urologist?

Often patients are interested in - and if there is no doctor-urologist nearby - who can replace it? Can, for example, a therapist or gynecologist perform its functions? In general, yes, maybe, but not so qualitatively as a narrow specialist.

Other specialists of this orientation can also replace the urologist:
  • andrologist - Doctor, treating pathology in men. The so-called "male" gynecologist;
  • uriogyecologist - A specialist who has extensive knowledge not only in the field of urology, but also in the field of gynecology;
  • oncurologist - A specialist who "works" exclusively with tumors, cysts and neoplasms. However, general advice and treatment of non-complicated diseases, it can be easily easily;
  • urologist emergency care - can conduct emergency surgery, as well as assign treatment and diagnose with urological problems;
  • some doctors of the general therapeutic - Specialist who has passed special training courses, with a law established by law.

As you can see, replace the specialist can many doctors, but only the urologist will be able to provide an integrated approach to treatment, which means the most fast and high-quality result.

How to choose a competent specialist?

Health is what should be taken care of extremely responsible. A visit to any doctor stress for a person, no matter how confident himself. That is why it is important to find a good specialist.

On the network there are a lot of ads about specialist doctors who are ready to accept you at any time. Most often this applies to commercial clinics. But are these good doctors there and should they trust them?

At the reception of the urologist

What is included in the concept of "good"? Everything is simple: the doctor has an appropriate education, a wealth of work, knows how to listen to the patient and find an approach to everyone, trying to apply medications in the treatment in minimal quantity and so on.

It is with such a situation that you will be satisfied with the work of the doctor, and he, in turn, will be able to quickly and without problems, and also reliably identify the diagnosis and appoint objective treatment.

You can also rely on the recommendations of friends, colleagues and relatives when choosing a doctor - as you know, the earth is full of rumors.

You will be able to learn reliable information about the specialist in the first mouth.

In addition, you can search the doctor in major clinical centers, where there is a branch of urology - here and experience, and many doctors and "reviews" can be heard.

Video on the topic

A video about who is such a urologist and what he does:

Otherwise, only you decide which doctor to entrust your health. Your luggage knowledge of urology and the doctor urologist has been replenished thanks to today's article, however, let these knowledge be needed only for general development and will never be useful for the treatment of the disease.


The list of narrow specializations of doctors is able to bring a patient into a slight confusion. Therefore, with any pathologies, you attend a precinct therapist so that it understands where to send you further. To suspect the pathology of the urogenital system and the kidney themselves is easy. The marker for this is unsatisfactory urine tests and certain complaints. For a detailed examination and clarification of the diagnosis, you get a directions to a doctor's doctor.

It is not necessary to consider a doctor of the urologist exclusively male (this is a common opinion). The doctor of this specialization is engaged in pathologies of the urogenital system, regardless of whether they have a man. Perhaps, only children's urologists who treat small patients can be distinguished into a separate group. The separation of all doctors on adults and children is due to physiological and anatomical features Children's body.

We present a list of diseases that are within the competence of a doctor of the urologist:

  • All inflammatory processes of the urogenital system are cystitis, urethritis.
  • Urolithiasis disease.
  • Injuries and neoplasms localized in the bladder area and urinary tract.
  • Pathology and defects of genital organs in men.
  • Pathology of prostate gland.
  • Deads of kidneys and adrenal glands.
  • Infertility.

Science Urology refers to the category of surgical specializations. Therefore, directly at the reception at the urologist you can get both urgent surgical care.

Classification of doctors

All urological specialties are divided into additional, narrower groups:

  1. Urogenicology. The doctor is engaged in the treatment of yorknecological ailments in women. There are a large number of pathologies that can be in equal degree Consider and urological and gynecological.
  2. Andrology. The doctor Andrologist treats the pathology of men. This includes not only inflammatory diseases, but also congenital defects of the male sexual system.
  3. Children's urology. Consultation of the children's urologist is needed under congenital defects of the urogenital system, etc.
  4. Oncourology. Its goal is to find and cure the oncological processes of the urogenital system.
  5. Physiourology. Heals urological pathology of tuberculosis nature.
  6. Geriatric urology. A rather extensive and complex region of urological science. Her contingent is older patients.
  7. Emergency urology. The doctor specializes in the provision of emergency surgical assistance in the field of urinary bodies.

Preparation for reception

Urological reception requires a little preparation that is a bit different for women and men. In addition to the general visual inspection and collection of anamnesis, the doctor also conducts other diagnostic manipulations. How is the inspection of the urologist, we will tell you slightly lower, in the meantime they will poison your attention to the preparation that is required before taking a doctor's doctor.

How to prepare a woman

Just like the reception of the gynecologist. For inspection of women, a gynecological chair is used. Therefore, do not forget to capture a diaper for inspection. A day before the visit to the doctor it is necessary to exclude sexual contacts.

Do not drain before the inspection of the urologist. It is not necessary to carry out genital hygiene using disinfectant solutions (furacin, chlorhexidine). Doctor need to take analyzes, and after applying medicinal solutions, Indicators may be unreliable.

How to prepare a man

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

  • Refusal of sex contacts for 2 days before passing inspection.
  • Cleaning enema. Clear the rectum is required to ensure that the doctor can spend the finger test of the prostate gland through the rectum. You should not be afraid, and the erection is shy, which occurs during such a survey is normal. Worse, if the erection does not arise. Cleaning enema can be replaced by taking a laxative drug on the eve.

Reception of the urologist

We understand that the excitement for men and women in front of the doctor's office is the usual thing. What does a urologist at the reception, is it painfully a survey, what tests are required, how does the doctor conduct a diagnosis? These thoughts do not give you peace, and do not allow you to enter the office calm and relaxed. And this is necessary.

Council. If you worry too much, before visiting the doctor, accept any soothing drops.

Nothing terrible in the office does not happen. The survey begins with a regular conversation. Answer a doctor's questions in detail, it will help accurate diagnostics. If there are chronic diseases, the doctor needs to know which medicine takes the patient constantly. Do not forget to mention them. Along the way, the doctor examines your outpatient map, views analyzes whose results should be twisted in it. If the reception is primary, and you have not passed the tests, the doctor must be appointments. Some analyzes patients pass right in the office.

The next step is palpator (manual) inspection of the abdomen and kidneys. Performed on the couch, sometimes standing.

For inspection of genital organs, the doctor uses a gynecological chair. In men, the doctor spends visually and palpatorously examines the external genital organs, after which it starts to survey the prostate gland. Anatomically, the prostate gland of men on one side is adjacent to the bubble, on the other - concerns the rectum. Therefore, the only possible way to determine the dimensions, the density of the body is to examine it through the anal hole. To do this, the patient is offered to rely on the couch, leaning forward. The doctor introduces his finger into the rectum and feels the prostate. To note, the prostate massage in men is carried out in the same method, the test of the secretion from the prostate gland is also taken using the finger effect on the gland.

Inspection of 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 to the reception to the urologist, it is enough to sign up for a clinic receipt. If the patient is to pass the urological examination recommends another specialist - it assigns you additional analyzes. Many patients pass them in paid laboratories to get the results faster. Let's open you a small medical secret. Any doctor, including the urologist, to which you have to sign up, trusts the laboratory of the institution in which it works. If you need some additional analysis using rare or expensive reagents, the urologist will advise you to sign up for tests in the private laboratory of good, in his opinion, level.

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

Find in our time the doctor is easy. The addresses of the clinics and private medical equipment are easy to find on the Internet, you can also sign up without leaving the house. But you want to pass the inspection of a good doctor, and not that phone whose phone came first on the eyes! Therefore, I venture to give you some tips that guarantee high-quality and competent service.

  • Find a good urologist is the easiest way to be a big clinic, where there is a urological department.
  • Record to the reception to a high-end doctor you can insurance agents carrying out individual health insurance. Usually they know the doctors well not only personally, but also receive feedback from patients who have already enjoyed urological services.

We would not be very recommended to use colleagues and friends. Their experience was not necessarily successful, the psychological aspect of reception is of great importance. If you are still going to the urologist into a private structure, please check the availability of a license and diplomas about the appropriate formation. Serious honey. The institutions do not hide them.