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How does a Urologist Examine you?

Urologist and Patient - VishwaRaj Hospital

Urology deals with both female and male urinary tract problems. If you are experiencing any issue relating to the urethra, bladder, kidney, or ureter, it’s a good idea to visit a urologist. Urinary tract problems can happen to anyone, regardless of age. However, there are some differences in the examination procedure between males and females. For convenience, we have explained it separately:

Examination of male urologic disease

In the male, when you visit a urologist, he will perform the following test on you:

Initial examination

At this beginning stage, the urologist collects all your information and your medical history. This information is also called anamnesis. It is essential for analyzing physiological changes and palpates lymph nodes and internal organs.

Laboratory examination

This test includes a blood test, urinalysis, biochemical blood test, spermogram, and PSA test. In a blood test, the doctor checks the inflammatory process. In urinalysis, he studies the function of the kidney, urinary tract, and bladder. However, in a biochemical blood test, the doctor checks both kidney and liver. In spermogram doctor examines sperm motility and quality. At last, in PSA, he tests for prior detection of prostate cancer.

Urodynamic testing

 It is a modern technique examination that determines the urinary system’s function and condition. In the test, you examine the pressure-flow urodynamic condition, a measure of urinary bladder size. It also measures the volume of residual urine.

Endoscopic exam

In this examination, the urologist uses a particular device, also known as an endoscope. The device allows the doctor to analyze the genitourinary system carefully. It examines the ureter, urethra, kidney, and bladder.

Ultrasound diagnostics

Ultrasound examination of the urinary system is the most important and effective method to identify pathologies. The foremost benefit of ultrasound is you do not need contrast agents. Another advantage is you are independent of the outcome of the functional condition of kidneys.

Radiation method of examination

In this method of analysis, the doctor uses radiopaque substances. They show results like renal angiography, MRI, tomography, urography, etc.

Diagnosis or treatment of urologic diseases usually depends on the condition of the disease and the stage. Thus the doctor may change the examination according to your medical history and condition.

Examination of female urologic disease

Urine incontinence is a widespread bladder control problem in women. It is a condition where you experience accidental urine leakage. As a result, it can be irritating as well as embarrassing. Your doctor runs a couple of tests to find out the primary cause of your problem. The following are the tests run by the doctor:

Physical test

There are two types of physical tests your doctor may recommend: a pelvic exam and a rectal exam.

A pelvic exam is a stress exam that you have to perform with a full bladder. While you are holding the urine with difficulty, the doctor asks you to cough. The doctor may also ask you to lie down to sift through the pelvic region. He will check the strength of the muscles surrounding the bladder too.

The doctor carries out a rectal exam along with your pelvic exam. They use a glove that is lubricated to feel the walls inside your rectum. This exam is necessary to check for any blockage in the area, causing such problems.

Note down answers

Your doctor will ask you a couple of question like:

  • Does your urine leak during sneezing, lifting, coughing, laughing, or having sex?
  • How many times do you visit the bathroom? Do you go to the toilet at night too?
  • Are you able to control your urine before reaching the bathroom?
  • Do you have a feeling of full bladder all the time?

According to the answer you provide in this session, the doctor carries out his treatment. Make sure to reply to your doctor correctly. Do not be shy.

Urine collection

The doctor will collect your urine sample to run its test in the lab. The test detects if there is any blood trace or symptoms of infection. Another test measures the amount of urine that gets eliminated and which remains in the bladder. For this test, the doctor performs ultrasound or use a sterile tube to check if you are holding any urine.

 If you are holding any urine, it indicates that something is acting as a blockage in your urinary tract. However, it can also mean that there is a problem with your surrounding muscle or nerve. Your doctor will send some collected blood to the lab too. Laboratory shows results regarding the functioning of your kidney and analyzing your body chemistry.

In-depth tests

For a more profound and proper understanding of the cause, the doctor might perform special tests. These special tests include:

  • Cystoscopy: In this test, the doctor examines the inner lining of your bladder. For the process, he inserts a thin, slender tube with a tiny lens inside your urethra.
  • Cystogram: This test takes out an X-ray of your bladder in action. The doctor uses a short tube to inject dye into your urethra and also bladder. So when you pee, the doctor can examine what is happening and where the actual problem lies.
  • Urodynamic testing: First, a urologist fills your bladder with liquid or water using a catheter. Then it is screened in a monitor to measure the amount of pressure in your bladder. Moreover, this test also helps measure the strength of the muscles that support the bladder and control urine flow. It serves as a massive help in finding out the cause.
  • Pelvic ultrasound: This test gives you a picture of your genitals or urinary tract’s inner area. It helps to find out the unusual cause of the problem.

Conclusion

Do not delay the test thinking of how the test runs, and will you be able to complete it successfully? It is not right to postpone the treatment for long because it can cause many issues if it gets serious. You do not need to be afraid, if you are a man or a woman; you can treat this disease with proper medical care.

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    Department Of Urology
    Our Urology unit works as a cohesive team with interdisciplinary interactions between Urologists, Nephrologists and Medical Oncologists to address all related issues of patients.The state-of-the-art Urology Unit offers minimally invasive, scar-less options for urologic procedures and medical management of kidney disease.
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