Urologist: who is he and what does he treat in men?

Andrology is a medical science, the field of study of which is the physiological and pathological processes of the male reproductive system, as well as methods of their treatment and prevention. One of its tasks is to maintain health and the ability to reproduce. An andrologist, or male doctor, relieves men of sexual disorders caused by diseases. This discipline is closely intertwined with other areas of medicine. With urology, surgery, immunology, endocrinology, genetics, psychology, sexology, transplantology. Therefore, this means he must be an expert in all related fields.

Today, according to statistics, more than half of the men on the planet have pathology of the genital organs. There is also a trend of “rejuvenation” of diseases. To effectively solve the problem, an integrated approach to the treatment of diseases and the availability of modern equipment are required. Only an experienced specialist can cope with diseases. In Moscow, you can undergo examination at any specialized clinic, the list and addresses of which can be found on the Internet. Usually admission to them is paid.

Who is and what does an andrologist treat?

Until recently, problems in men were treated by a doctor specializing in sexology or urology. And at the moment, it becomes more urgent to contact an andrologist. Many patients do not fully understand who this specialist is and what this specialist does?”

To understand what a male doctor does, it is necessary to distinguish between the areas of activity of each specialist. The field of activity of a urologist is reduced to the treatment and prevention of diseases of the urinary organs. They are typical not only for men, but also for the opposite sex.

A sexologist resolves issues related to sexual disorders and infertility problems.

An andrologist is a male doctor who removes the pathology that caused:

• hormonal imbalance;
• infertility;
• Erectile dysfunction.

General information

Urology is a broad branch of medicine that studies the etiology and pathogenesis of a wide variety of diseases of the genitourinary system. It is aimed at the prevention and treatment of both congenital and acquired pathologies in this area. A urologist does all this. Contrary to stereotypes, this is not only a “male doctor”. Yes, for the most part this specialist advises representatives of the stronger half of humanity. However, this does not mean that he does not have women and children at his reception. While the competence of a gynecologist is limited exclusively to the genital area, the work of a urologist affects the entire urinary system. Still, this doctor is called “masculine” for good reason. The fact is that among representatives of the stronger half of humanity, the excretory and reproductive systems are much more closely connected than among women.

How is the examination and consultation carried out?

A visit and initial consultation is the first step on the path to men's health. Before visiting a specialist, you should definitely perform genital hygiene and also put on fresh underwear.

What a specialist does with a patient at an appointment depends on the purpose for which the patient comes. If a man comes to the appointment for the first time, then the doctor gets to know the patient, studies the medical history, and finds out complaints.

Performs external and internal examination and, based on available data, makes a preliminary diagnosis. The patient is examined as follows:

• The doctor examines the man's genitals externally and also performs a digital examination of the prostate gland internally through the rectum.
• Also, during an examination of the prostate, the doctor may massage the gland, which will provide additional information to clarify the diagnosis.
• In some cases, it may be necessary to check the act of urination. In this case, the degree of straining, the duration of urine output, and the thickness of the stream are specified.

If the doctor finds no signs of pathology, then the patient can safely go home. Sometimes a patient needs a health certificate. He can receive it after an accurate diagnosis is made. If the doctor has complaints or suspicions of any physiological abnormalities, men are recommended to undergo diagnostics, after which treatment will be prescribed. As additional tests, the doctor will need tests:

• general blood analysis;
• urine test;
• urethral smear for culture;

• spermogram.

The doctor can also refer the patient to undergo an ultrasound examination of the pelvic organs. Men also need to undergo a spermogram when considering referral for IVF. After passing all the examinations, the man comes for a second consultation. After studying the tests, the doctor clarifies the diagnosis and prescribes the necessary treatment. It can be performed on an outpatient basis or in a hospital setting. Therapy includes prescription of medications and physiotherapeutic methods. If necessary, surgical intervention is performed. At the end of the course, the results obtained are assessed at an appointment with an andrologist.

There is a large selection of clinics in Moscow. Here you can not only get advice from a qualified specialist, but also undergo an examination.

What complaints should you contact a urologist about?

If you have any of the following symptoms, do we advise you to consult a urologist or urologist-andrologist?

• itching and burning when urinating;
• discharge from the penis;
• sexual function disorders;
• pain in the lower abdomen;
• pain during sexual intercourse;
• increased frequency of urination and urinary incontinence;
• detection of blood in seminal fluid;
• change in the color of seminal fluid;
• warts and other formations in the genital area;
• infertility;
• increased body temperature with pain in the scrotum.

1. Established preliminary diagnosis;
2. Prescribing the list of diagnostic studies and tests necessary to clarify the diagnosis;
3. Drugs are prescribed to reduce the symptoms of the disease until diagnostic results are obtained and a final treatment regimen is prescribed;
4. A date for a follow-up consultation is set with the results of the examination.

What is the difference between a urologist and an andrologist?

It is impossible to say for sure what the difference is between them. It immediately seems like they are one and the same.

What is the difference between a urologist and an andrologist?

Types of disorders for which people consult a urologist:

• inflammatory processes of the urinary organs;
• developmental anomalies;
• STI;
• injuries of the urogenital organs.

Diseases that are within the competence of an andrologist include:

• erectile dysfunction;

• varicocele;
• infertility;
• prostate adenoma;
• hormonal imbalance;
• prostatitis;
• prostate cancer;
• climacteric disorders; oncological diseases of the genitals.

When should I take my child to the doctor?

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A pediatric urologist may be needed at a very young age, regardless of the child’s gender. Among the most common options for contacting:

• cystitis, which is accompanied by inflammation, both in girls and small men;
• phimosis - narrowing of the head of the penis in boys;
• cryptorchidism - underdevelopment of the testicle or its position in the scrotum in a position that does not correspond to the anatomical features. Neglected and untreated, this disease in adulthood can lead to an irreversible form of sexual dysfunction;
• inflammatory processes and anomalies of the female genital organs.

A pediatrician may also be needed in cases where there are open injuries and mutilation of the genitals or urinary incontinence. Any infection in children remains predisposed to further spread and can become chronic.

Urologist andrologist

Not every person knows who he is and what disorders the specialist treats. This is a doctor whose professional activities cover various areas of medicine. These are sexopathology, urology, andrology, surgery and other sciences. The urologist andrologist sees only men.

The question arises: “what does the specialist look at?” The doctor's attention is focused on the anatomical structure and physiology of the male genital organs.

What does a pediatric andrologist do and how does it differ from an adult? He, just like an adult doctor, treats boys and young men taking into account their age characteristics. The doctor eliminates in men:

• causes of infertility;
• abnormalities of genital development;
• vascular pathology arising in the pelvic cavity;
• genital injuries;
• climacteric disorders;
• hormonal shift;
• oncological diseases;
• disruption of prostate function;
• STD;
• inflammatory diseases;

• erectile dysfunction.

A good specialist also has the skills of surgical interventions. You can find a highly qualified specialist in Moscow via the Internet. To do this, you can visit the websites of various clinics that offer their services. Read reviews from people who have had a similar problem, find out which medical institutions are the best. Once a suitable clinic has been selected, you can go to its website and select a suitable specialist. And not only by the criterion: is it a woman or a man, but also by qualification (surgeon) and academic degree (candidate of medical sciences, professor). Once you have made your choice in favor of a doctor, you can click on “make an appointment” and fill out all the required fields.

The initial consultation with a doctor can be paid or free. In case the patient continues to use the services of the clinic. Many medical institutions often hold such promotions.

What diagnostic methods does it use?

Many urological pathologies have a similar clinical picture, so to make an accurate diagnosis, the doctor prescribes tests and instrumental types of research.

Diagnostic methods:

• clinical, biochemical blood test to identify the type of inflammatory process, the degree of its intensity, assess the condition of the organs of the urinary system;
• Wasserman reaction;
• urine analysis - general, according to Nechiporenko, according to Zimnitsky, three-glass sample;
• determination of the level of testosterone and its metabolites in the blood;
• test for tumor markers, cytology to identify atypical cells, histology of suspicious tissues;
• bacterial culture, examination of discharge from the urethra under a microscope - allows you to identify prostatitis, urethritis, vesiculitis in the early stages of development, determine the type of pathogens of the infectious process;
• spermogram;
• PCR diagnostics for detection of antibodies to schistosomes;
• Ultrasound of the pelvic organs, kidneys;
• abdominal x-ray;
• CT, MRI of the genitourinary system;
• urography with contrast agent.

The list of tests is determined individually, most often these are clinical and biochemical blood tests

The most informative methods for examining the urethra and prostate are urethroscopy or cystoscopy. A flexible tube with an optical system is inserted into the urethral canal; the condition of the internal walls of the organs is displayed on the screen; the procedures are carried out under local anesthesia.

Other related areas

Andrology is a branch of medicine that studies the anatomical and physiological characteristics of the male body. Specialization has several directions. Let's look at what each specialist treats.

An andrologist is a doctor whose activities are aimed at improving the health of the urogenital area.

An andrologist-urologist is a doctor who treats pathologies of the urinary tract in both sexes and the genitals in men. The doctor helps men in solving the following problems that are associated with:

• infertility;
• urinary incontinence;
• pain in the penis during ejaculation;
• decreased potency;

• deformation of the penis;

• sexually transmitted diseases;
• STI;
• renal failure;
• oncological diseases of the genitals.

An andrologist-endocrinologist is someone who specializes in urogenital pathology caused by hormonal imbalance. The doctor treats the following types of pathologies:

• failures of puberty in boys;
• gynecomastia;

• cryptorchidism;

• infertility;
• prostate adenoma;
• insufficient production of male sex hormones;
• pathologies of the endocrine glands associated with impaired androgen production (obesity, diabetes, hypo- or hyperthyroidism, disorders of the pituitary gland and hypothalamus);
• insufficient testosterone synthesis;
• increased production of prolactin.

An andrologist surgeon is a specialist who relieves men of illness through surgery, thus helping to get rid of:

• phimosis;
• cystic formations;
• cryptorchidism and other pathologies.

Sexologist-andrologist. The activities of this specialist are aimed at correcting sexual disorders in men. The profession of a sex therapist is a fairly responsible type of activity, as it is somewhat reminiscent of the work of a psychologist. The specialist helps solve problems related to infertility. A sexologist in Moscow can only be found in large private clinics that work in the field of reproductive medicine.

Sports andrologist. The specialist corrects hormonal imbalances in athletes taking steroid drugs and provides psychological assistance.

If a patient is diagnosed with prostatitis, then only a proctologist can confirm the diagnosis other than a urologist, because Diseases of the rectum often have similar symptoms to prostatitis.

Sections of urology

Urology can be divided into three sections: men's, women's and children's.
Male urology (andrology) primarily specializes in treating the causes of male infertility, inflammation of the prostate gland, bladder, kidney and urethral problems. The specialist also deals with the treatment of urolithiasis and some diseases that are sexually transmitted - for example, ureaplasmosis, genital herpes, chlamydia, etc. The female branch of urology is otherwise called urogynecology and specializes primarily in the treatment of inflammation of the internal genital organs and genitourinary system in women. There is also a pediatric urologist-andrologist who deals with problems in the development of the genitourinary system of children.

How to Simply Recommend

Why the medicine does not work The key to successful treatment is, of course, following all the doctor’s recommendations and informing him of all significant changes during therapy. However, a specialist can talk as much as he wants about the regimen and duration of taking the drug, but most patients will still violate these rules. Read more

Examination of children by a urologist is carried out only in the presence of parents. For preventive purposes, a child should be examined annually.

You should consult a doctor if specific symptoms of diseases of the genitourinary system appear, namely, discomfort when urinating, problems with urination, lack of sensation when emptying the bladder, problems with sexual activity and infertility.

What should a good andrologist be like?

Maintaining normal male health is one of the most important tasks of andrology.

An andrologist is a specialist who has thorough knowledge of the male body. About its anatomical and physiological features, possible anomalies in the development of the urogenital system. In addition, a good doctor, whether he is a doctor or a professor, must:

• own innovative diagnostic techniques;
• use the best methods of therapeutic intervention and surgical intervention;
• listen carefully and respond adequately to patient complaints;
• pay attention to studying the medical history;
• offer possible treatment options for the disease;
• promptly inform the patient about possible consequences;
• prescribe medications by writing them out on prescription forms;
• inform about the upcoming costs of treatment and examination.

Many patients, in search of a good specialist, visiting thematic forums, turn to forum users with the request: “Advise an andrologist...”. In Moscow clinics you can find an experienced specialist.

You should not think that the best doctor must necessarily work in a well-known medical clinic. The likelihood of getting a consultation with an illiterate doctor is high, even if there are good rumors about the clinic.

How to make an appointment?

An appointment and visit to a specialist can be free if the patient has a compulsory medical insurance policy. Currently, recording via the Internet is widely practiced. When registering on the clinic website you need:

• select a city from the drop-down list, for example: “Moscow”;
• then choose the right specialist;
• and after that the doctor you liked;

• Click on the record button and enter the required data.

You can make an appointment in advance with a doctor either at the clinic at your place of residence, or at any private clinic in Moscow.

Treatment of kidney stones and urolithiasis

If symptoms of swelling of the limbs or face appear, there is a suspicion of kidney disease or stone disease. A clear sign of kidney stones in men is attacks of lower back pain. The pain can be acute or aching, constant or intermittent. The doctor usually looks at where the pain appears; it is in that area that the stones are supposedly located.

Large stones that are located in the renal pelvis are usually inactive and are manifested by a dull pain in the lumbar region, which intensifies with shaking in transport or with physical activity.

When a stone moves along the ureter, the site of pain also moves. Most likely, it will go lower, moving to the groin area.

Renal colic (severe pain) is a very clear characteristic sign that a man has developed kidney stones , and then the patient urgently needs to see a urologist for treatment.

After a thorough examination (X-ray, ultrasound, chromocystoscopy, tests), determining the exact location of stones in the collecting system and assessing their progress, the urologist can suggest a method for removing and expelling stones. The size of the stones and possible inflammation in the kidneys are also taken into account. Such techniques also depend on the composition of the stones (carbonate, phosphate, oxalate, uric acid, cystine types).

In severe situations, treatment of kidney stones is performed surgically.

Cost of consultation

Before going to the clinic, you need to ask how much an appointment costs.

The price of services in Moscow depends on various factors. The cost of services depends on the location, status, reputation, and qualifications of the specialist. Also from the availability of modern diagnostic and treatment equipment.

A consultation with an andrologist can be assessed depending on the number of appointments for the same patient. Some clinics often charge a fee for the first visit based on a certain period of time. Those. Repeated appointments will be free of charge if prescribed by a doctor, for example, for one month.

Reviews

What to do after choosing a clinic in Moscow? It would be correct to read the reviews of people who have applied to this medical institution. Often people leave not only positive, but also negative reviews about doctors and their treatment methods.

A good specialist will always have a lot of reviews, not only positive, but also negative. It's normal if out of about 10 comments one is negative.

Where to find them:

• There is a special section on the website of the diagnostic and treatment institution (you can view it not only for 2020, but also for previous periods), where patients talk about their treatment experience and which doctor they liked. You should not trust everything that users write, because very often reviews are bought.
• Through friends or neighbors who may have also visited the doctor and were satisfied with the treatment.

Where does the andrologist see the doctor?

The specialist can see patients in the clinic. But most likely you can make an appointment and get an appointment at a private clinic or a large diagnostic and treatment center.

Appointment with an andrologist at the clinic

If a man is concerned about any problems that a urologist cannot always solve, then the specialist can refer the patient for a consultation with an andrologist. It is worth noting that not every clinic can boast of having this specialist. Therefore, first you should find out if there is an andrologist at the local clinic. This can be done through the registration desk by phone or online. If there is no such specialist, then you can contact any medical center. If a medical center works in the direction of treating infertility, then, as a rule, many real professionals work in such clinics. By contacting one of them you can get qualified help. But to get an appointment with a doctor, you need to drive up to the MC or call by phone to make an appointment. Consultation and treatment in such clinics are paid.

Recommend a good urologist in Moscow

People often ask: “Tell me where I can find a good urologist.”

It is not that simple.

Not all doctors have the qualities characteristic of a good specialist.

A professional must have deep knowledge and experience.

At the same time, he must also have human qualities.

When communicating, the doctor always answers the patient’s questions.

The best urologist will try to ensure that all manipulations related to the treatment of the patient are carried out painlessly.

He always puts the patient's health first.

If a person does not know which urologist to contact, then he faces a difficult task.

Often not understanding where to turn, a person goes to see a urologist at the first clinic he comes across, where they can recommend a good doctor.

It happens that a person will change several doctors before finding “his” urologist.

To understand which doctor offers his services, you should evaluate the following criteria of his professionalism:

1. Receives appointments at a private medical facility
2. The clinic where the urologist works has a good reputation
3. Work experience in this specialty for at least 10 years
4. The urologist is a specialist of the highest category
5. Patients leave good reviews about him
6. The specialist has an academic degree