What is urology?

Urology is the field of medicine that focuses on diseases of the urinary tract and the male reproductive tract. Some urologists treat general diseases of the urinary tract. Others specialize in a particular type of urology, such as:

• female urology, which focuses on conditions of a woman’s reproductive and urinary tract
• male infertility, which focuses on problems that prevent a man from conceiving a baby with his partner
• neurourology, which focuses on urinary problems due to conditions of the nervous system
• pediatric urology, which focuses on urinary problems in children
• urologic oncology, which focuses on cancers of the urinary system, including the bladder, kidneys, prostate, and testicles

What is a urologist?

Urologists diagnose and treat diseases of the urinary tract in both men and women. They also diagnose and treat anything involving the reproductive tract in men.

In some cases, they may perform surgery. For example, they may remove cancer or open up a blockage in the urinary tract. Urologists work in a variety of settings, including hospitals, private clinics, and urology centers.

The urinary tract is the system that creates, stores, and removes urine from the body. Urologists can treat any part of this system. This includes the:

• kidneys, which are the organs that filter waste out of the blood to produce urine
• ureters, which are the tubes through which urine flows from the kidneys to the bladder
• bladder, which is the hollow sac that stores urine
• urethra, which is the tube through which urine travels from the bladder out of the body
• adrenal glands, which are the glands located on top of each kidney that release hormones

Urologists also treat all parts of the male reproductive system. This system is made up of the:

• penis, which is the organ that releases urine and carries sperm out of the body
• prostate, which is the gland underneath the bladder that adds fluid to sperm to produce semen
• testicles, which are the two oval organs inside the scrotum that make the hormone testosterone and produce sperm

Which conditions do we treat?

We treat a wide variety of conditions that affect the urinary system and male reproductive system.

In men, we treat:

• cancers of the bladder, kidneys, penis, testicles, and adrenal and prostate glands
• prostate gland enlargement
• erectile dysfunction, or trouble getting or keeping an erection
• infertility
• interstitial cystitis, also called painful bladder syndrome
• kidney diseases
• kidney stones
• prostatitis, which is inflammation of the prostate gland
• urinary tract infections (UTIs)
• varicoceles, or enlarged veins in the scrotum

In women, urologists treat:

• bladder prolapse, or the dropping of the bladder into the vagina
• cancers of the bladder, kidneys, and adrenal glands
• interstitial cystitis
• kidney stones
• overactive bladder
• UTIs
• urinary incontinence

In children, urologists treat:

• bed-wetting
• blockages and other problems with the urinary tract structure
• undescended testicles

When should you see a urologist?

Your primary care doctor can treat you for mild urinary problems, such as a UTI. Your primary care doctor may refer you to a urologist if your symptoms don’t improve or if you have a condition that needs treatments they can’t provide.

You may need to see both a urologist and another specialist for certain conditions. For example, a man who has prostate cancer can see a cancer specialist called “an oncologist” and a urologist.

How do you know when it’s time to see a urologist? Having any of these symptoms suggests you have a problem in the urinary tract:

• blood in your urine
• a frequent or urgent need to urinate
• pain in your lower back, pelvis, or sides
• pain or burning during urination
• trouble urinating
• urine leakage
• weak urine flow, dribbling

You should also see a urologist if you’re a man and you’re experiencing these symptoms:

• a decreased sexual desire
• a lump in the testicle
• trouble getting or keeping an erection
• Any skin condition of the groin area or fore skin 

Q:

What can I do to maintain good urologic health?

A:

Make sure you regularly empty your bladder and drink water instead of caffeine or juice. Avoid smoking and maintain a low-salt diet. These general rules can help to prevent a vast majority of common urologic issues.

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